Pankti Gada, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF77417 Issued in CA

Practice address

1801 Vicente St
Edgewood Center
San Francisco, CA 94116

Phone

(415) 635-8069

NPI assigned

Aug 31, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1154670495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 VICENTE ST",
            "address_2": "EDGEWOOD CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-635-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 VICENTE ST",
            "address_2": "EDGEWOOD CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94116",
            "telephone_number": "415-635-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADA",
        "first_name": "PANKTI",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF77417",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misha Mika Tong Lee Gabrielyan, DPT
• Brian Gac
• Joselle Gacusan, CMT
• Lara R Gad Kossover, D.C.
• Mario Gad
• Marielle Gadaleta, MSN, NP, PMHNP-BC
• Benjamin Gadbaw
• Michael Vincent Gaddini, DPT
• Ivelina Gadelov, PA-C
• Rena Gadimova

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, 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 Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.