Individual provider Active NPI

Ilana Sharaun, M.F.T

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1073011839
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
33483 Issued in CA
Practice address
288 Quinnhill Ave
Los Altos, CA 94024
Phone
(650) 996-3362
Fax
(650) 949-3446
NPI assigned
Jan 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 33483 CA Primary

Addresses

Primary practice location

288 Quinnhill Ave
Los Altos, CA 94024

Mailing address

288 Quinnhill Ave.
Los Altos, CA 94024
Phone (650) 996-3362

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
33483CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Altos Psychiatric Medical Group, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073011839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 QUINNHILL AVE.",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "94024",
            "telephone_number": "650-996-3362",
            "fax_number": "650-949-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 QUINNHILL AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "94024",
            "telephone_number": "650-996-3362",
            "fax_number": "650-949-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAUN",
        "first_name": "ILANA",
        "credential": "M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "33483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.