Individual provider Active NPI

Yeldar Zhurgenov, MA

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1083199541
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT152550 Issued in CA
Practice address
240 Hyde St
San Francisco, CA 94102-3386
Phone
(415) 775-6006
Fax
(415) 474-9518
NPI assigned
Oct 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 LMFT152550 CA Primary

Addresses

Primary practice location

240 Hyde St
San Francisco, CA 94102-3386

Mailing address

240 Hyde St
San Francisco, CA 94102-3386
Phone (415) 775-6006

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT152550CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1083199541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HYDE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023386",
            "telephone_number": "415-775-6006",
            "fax_number": "415-474-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HYDE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023386",
            "telephone_number": "415-775-6006",
            "fax_number": "415-474-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHURGENOV",
        "first_name": "YELDAR",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-01",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT152550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.