Individual provider Active NPI

Jazmin Catalina Buntic, LMFT

  • Marriage & Family Therapist
  • Cupertino, CA
National Provider Identifier
1033233457
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
CA 40045 Issued in CA
Practice address
20863 Stevens Creek Blvd
Suite 580
Cupertino, CA 95014-2113
Phone
(408) 236-2238
Fax
(408) 236-2238
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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 CA 40045 CA Primary

Addresses

Primary practice location

20863 Stevens Creek Blvd
Suite 580
Cupertino, CA 95014-2113

Mailing address

2170 Stevens Creek Blvd
Suite 1600
Cupertino, CA 95015
Phone (408) 236-2238

Other names 1

  • Jazmin Catalina Maher Former name

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

LicenseStateTypeSpecialty
CA 40045CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1033233457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 STEVENS CREEK BLVD",
            "address_2": "SUITE 1600",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95015",
            "telephone_number": "408-236-2238",
            "fax_number": "408-236-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20863 STEVENS CREEK BLVD",
            "address_2": "SUITE 580",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142113",
            "telephone_number": "408-236-2238",
            "fax_number": "408-236-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTIC",
        "first_name": "JAZMIN",
        "middle_name": "CATALINA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "CA 40045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAZMIN",
            "last_name": "MAHER",
            "middle_name": "CATALINA",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.