Individual provider Active NPI

Snezana Bandic, MA

  • Marriage & Family Therapist
  • Los Gatos, CA
National Provider Identifier
1104094549
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 45150 Issued in CA
Practice address
15814 Winchester Blvd Ste 101
Los Gatos, CA 95030-3333
Phone
(408) 627-2027
NPI assigned
Feb 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

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 MFC 45150 CA Primary

Addresses

Primary practice location

15814 Winchester Blvd Ste 101
Los Gatos, CA 95030-3333

Mailing address

15814 Winchester Blvd Ste 101
Los Gatos, CA 95030-3333
Phone (408) 627-2027

Other names 1

  • Anna Bandic Professional name

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
I20260203002931 CA Practitioner - Marriage and Family Therapist 7719465418 Practice locations: Los Gatos, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15814 Winchester Blvd
Los Gatos, CA 95030-3333
Phone (408) 627-2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC 45150CAMDMarriage & Family Therapist
45150CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1104094549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15814 WINCHESTER BLVD STE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950303333",
            "telephone_number": "408-627-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15814 WINCHESTER BLVD STE 101",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950303333",
            "telephone_number": "408-627-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDIC",
        "first_name": "SNEZANA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BANDIC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.