Kali Sangervasi, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

128078 Issued in CA

Practice address

4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696

Phone

(707) 977-8603

NPI assigned

Jun 17, 2016

Sex

Female

Sole proprietor

No

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.

• Aldea Inc

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1023419652
  NPD
• Aldea, Inc

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1972897346
  NPD
• Aldea, Inc.

  • Community/Behavioral Health Agency
  • Napa, CA
  • NPI 1386809911
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2023.

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1033569397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 BUSINESS CENTER DR STE 210",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 BUSINESS CENTER DR STE 210",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341696",
            "telephone_number": "707-977-8603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "470 Chadbourne Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945349600",
            "country_code": "US",
            "telephone_number": "707-425-9670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 Bisso Ln",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945204897",
            "country_code": "US",
            "telephone_number": "925-521-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2310 First Street",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "94559",
            "country_code": "US",
            "telephone_number": "707-253-0123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGERVASI",
        "first_name": "KALI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "106396",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Sandoval
• Neil H Sandow
• Daisy Sandria
• Kurt Sanga
• Paul Sanger
• Mattie Lee Sango, ASW
• Daniel Anthony Santiago
• Catherine Santos
• Crystina Robin Santos, OTRL
• Grace Aglibut Santos, RN

• All providers in Fairfield, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.