Active NPI
Victor Tolibas Marcellana, MFTI
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1073647939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 47047
- Practice address
- 1991 McKee Rd
San Jose, CA 95116-1406 - Phone
- (408) 926-7950
- Fax
- (408) 926-7949
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 8, 2007
- 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 | 47047 | CA | Primary |
Addresses
Primary practice location
1991 McKee Rd
San Jose, CA 95116-1406
Mailing address
1991 McKee Rd
San Jose, CA 95116-1406
Phone (408) 926-7996
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 |
|---|---|---|---|
| 47047 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073647939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 MCKEE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161406",
"telephone_number": "408-926-7996",
"fax_number": "408-926-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 MCKEE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951161406",
"telephone_number": "408-926-7950",
"fax_number": "408-926-7949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCELLANA",
"first_name": "VICTOR",
"middle_name": "TOLIBAS",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "47047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.