Active NPI
Andrea Maria Boitano, MS
- Professional Counselor
- San Leandro, CA
National Provider Identifier
1114440823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC14071
- Practice address
- 400 Estudillo Ave Ste 100
San Leandro, CA 94577-4962 - Phone
- (510) 924-0548
- NPI assigned
- Jul 25, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | APCC14071 | CA | |
| Professional Counselor | 101YP2500X | APCC14071 | 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) 924-0548
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 |
|---|---|---|---|
| APCC14071 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1114440823",
"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": "510-924-0548"
},
{
"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": "510-924-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOITANO",
"first_name": "ANDREA",
"middle_name": "MARIA",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "APCC14071",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC14071",
"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 Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.