Active NPI
Gina Ruth Sarpy, MS, MFT INTERN
- Marriage & Family Therapist
- San Leandro, CA
National Provider Identifier
1104186626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT125570
- Practice address
- 400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962 - Phone
- (510) 352-9200
- NPI assigned
- May 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF85981 | CA | |
| Marriage & Family Therapist | 106H00000X | AMFT125570 | CA | Primary |
Addresses
Primary practice location
400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962
Mailing address
400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962
Phone (510) 746-7480
Other practice location 1
7425 Los Guilicos Rd
Dept. H
Santa Rosa, CA 95409
Phone (707) 569-0877
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT125570 | CA | MD | Marriage & Family Therapist |
| IMF85981 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1104186626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 ESTUDILLO AVE STE 100",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774962",
"telephone_number": "510-746-7480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ESTUDILLO AVE STE 100",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774962",
"telephone_number": "510-352-9200"
}
],
"practiceLocations": [
{
"address_1": "7425 Los Guilicos Rd",
"address_2": "Dept. H",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "95409",
"country_code": "US",
"telephone_number": "707-569-0877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARPY",
"first_name": "GINA",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "MS, MFT INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF85981",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT125570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.