Individual provider Active NPI

Ka CHI Kwok, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1053569921
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT136540 Issued in CA
Practice address
729 Filbert St
San Francisco, CA 94133-2760
Phone
(628) 754-8560
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X LMFT136540 CA Primary

Addresses

Primary practice location

729 Filbert St
San Francisco, CA 94133-2760

Mailing address

729 Filbert St
San Francisco, CA 94133-2760
Phone (415) 203-5507

Other identifiers 1

IdentifierTypeStateIssuer
1053569921MedicaidCA

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
I20240405002714 CA Practitioner - Marriage and Family Therapist 5890133037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

729 Filbert St
San Francisco, CA 94133-2760
Phone (415) 352-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT136540CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Jan 23, 2024 Accepting new patients
City and County of San Francisco CurrentSince Jan 23, 2024 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

729 Filbert St
San Francisco, CA 94133
Phone (415) 255-3602

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1053569921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 FILBERT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332760",
            "telephone_number": "415-203-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 FILBERT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941332760",
            "telephone_number": "628-754-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOK",
        "first_name": "KA CHI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT136540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053569921",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.