Individual provider Active NPI

James Thomas Klotzle

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1164730784
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
90273 Issued in CA
Practice address
1563 Mission St
San Francisco, CA 94103-2543
Phone
(415) 762-3700
Fax
(415) 865-0119
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 90273 CA Primary

Addresses

Primary practice location

1563 Mission St
San Francisco, CA 94103-2543

Mailing address

1563 Mission St
San Francisco, CA 94103-2543
Phone (415) 762-3700

Other practice location 1

890 Hayes St
San Francisco, CA 94117-2615
Phone (909) 964-1585

Other practice location 2

2261 Bryant St
San Francisco, CA 94110-2833
Phone (909) 964-1585

Other practice location 3

815 Buena Vista Ave W
San Francisco, CA 94117-4108
Phone (909) 964-1585

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

State licenses

LicenseStateTypeSpecialty
90273CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 Past Accepting new patients
Healthright 360 Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1164730784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032543",
            "telephone_number": "415-762-3700",
            "fax_number": "415-865-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 MISSION ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032543",
            "telephone_number": "415-762-3700",
            "fax_number": "415-865-0119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Hayes St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941172615",
            "country_code": "US",
            "telephone_number": "909-964-1585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2261 Bryant St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941102833",
            "country_code": "US",
            "telephone_number": "909-964-1585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 Buena Vista Ave W",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941174108",
            "country_code": "US",
            "telephone_number": "909-964-1585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOTZLE",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.