Active NPI
Stephen Vernon
- Marriage & Family Therapist
- San Leandro, CA
National Provider Identifier
1033579461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF82477
- Practice address
- 525 Estudillo Ave
Suite D
San Leandro, CA 94577-4684 - Phone
- (415) 271-4917
- Fax
- (510) 280-9340
- NPI assigned
- Feb 26, 2016
- Sex
- Male
- Sole proprietor
- No
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 | IMF82477 | CA | Primary |
Addresses
Primary practice location
525 Estudillo Ave
Suite D
San Leandro, CA 94577-4684
Mailing address
1134 Navalle CT
Pleasanton, CA 94566-6982
Phone (925) 998-8244
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 |
|---|---|---|---|
| IMF82477 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1033579461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 NAVALLE CT",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666982",
"telephone_number": "925-998-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 ESTUDILLO AVE",
"address_2": "SUITE D",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774684",
"telephone_number": "415-271-4917",
"fax_number": "510-280-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "STEPHEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-26",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF82477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.