Nurges J Gheyaszada, M.A

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

99272 Issued in CA

Practice address

40965 Grimmer Blvd
Fremont, CA 94538-2846

Phone

(510) 657-7425

Fax

(510) 569-4589

NPI assigned

Jan 19, 2012

Last updated

May 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495670400000",
    "number": "1114298361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40965 GRIMMER BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382846",
            "telephone_number": "510-364-6437",
            "fax_number": "510-569-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40965 GRIMMER BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382846",
            "telephone_number": "510-657-7425",
            "fax_number": "510-569-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEYASZADA",
        "first_name": "NURGES",
        "middle_name": "J",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2017-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shareh O Ghani, MD
• Marianne Ghatta, OD
• Shaaban Ghaus
• Afshin Ghayoumi, MD
• Maryam Ghazzali
• Shankar Prasad Ghimire, M.D.
• Caitlin Giammona, M.A. CCC-SLP
• Sharon Gianfrate, MS
• Ngoc Giang
• Karen Giannotti, DDS

• Marriage & Family Therapist in Fremont, CA
• Providers in Fremont, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; 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.