Individual provider Active NPI

Marli Diniz, LMFT

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1023139649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39866 Issued in CA
Practice address
175 Bernal Rd
San Jose, CA 95119-1343
Phone
(408) 972-3099
Fax
(408) 972-6494
NPI assigned
Apr 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC39866 CA Primary

Addresses

Primary practice location

175 Bernal Rd
San Jose, CA 95119-1343

Mailing address

175 Bernal Rd
San Jose, CA 95119-1343
Phone (408) 972-3099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240110001277 CA Practitioner - Marriage and Family Therapist 9638520091 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1897 Huxley CT
San Jose, CA 95125-5931
Phone (408) 466-9168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC39866CAMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023139649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BERNAL RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191343",
            "telephone_number": "408-972-3099",
            "fax_number": "408-972-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 BERNAL RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191343",
            "telephone_number": "408-972-3099",
            "fax_number": "408-972-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINIZ",
        "first_name": "MARLI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.