Active NPI
Vivian Susselle Estevez, LMFT
- Marriage & Family Therapist
- Daly City, CA
National Provider Identifier
1003366741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 34644
- Practice address
- 355 Gellert Blvd Ste 280
Daly City, CA 94015-2619 - Phone
- (650) 898-5423
- Fax
- (650) 564-9948
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 34644 | CA | Primary |
Addresses
Primary practice location
355 Gellert Blvd Ste 280
Daly City, CA 94015-2619
Mailing address
2755 San Bruno Ave Unit 347298
San Francisco, CA 94134-1557
Phone (650) 898-5423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34644 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marianne C Troxell LMFT & Assoc. a Marriage & Family Therapy Corp. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Daly City, CA
- NPI 1588040570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1003366741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 SAN BRUNO AVE UNIT 347298",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941341557",
"telephone_number": "650-898-5423",
"fax_number": "650-564-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GELLERT BLVD STE 280",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152619",
"telephone_number": "650-898-5423",
"fax_number": "650-564-9948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTEVEZ",
"first_name": "VIVIAN",
"middle_name": "SUSSELLE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "34644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.