Active NPI
Ignacia Perez Botto
- Marriage & Family Therapist
- San Mateo, CA
National Provider Identifier
1154878494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1635 Marina CT Apt E
San Mateo, CA 94403-1603 - Phone
- (415) 910-9248
- NPI assigned
- Sep 2, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1635 Marina CT Apt E
San Mateo, CA 94403-1603
Mailing address
1635 Marina CT Apt E
San Mateo, CA 94403-1603
Phone (415) 910-9248
Other practice location 1
3026 24th St # 2
San Francisco, CA 94110-4129
Phone (415) 872-9448
Other practice location 2
665 Lytton Ave
Palo Alto, CA 94301-1335
Phone (415) 910-9248
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587772800000",
"number": "1154878494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 MARINA CT APT E",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031603",
"telephone_number": "415-910-9248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 MARINA CT APT E",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031603",
"telephone_number": "415-910-9248"
}
],
"practiceLocations": [
{
"address_1": "3026 24th St # 2",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941104129",
"country_code": "US",
"telephone_number": "415-872-9448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "665 Lytton Ave",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943011335",
"country_code": "US",
"telephone_number": "415-910-9248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ BOTTO",
"first_name": "IGNACIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-02",
"last_updated": "2020-04-25",
"certification_date": "2020-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.