Active NPI
Darlicia Tiffany Bruner
- Day Training/Habilitation Specialist
- San Leandro, CA
National Provider Identifier
1174283733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 400 Estudillo Ave
San Leandro, CA 94577-4999 - Phone
- (510) 924-0548
- NPI assigned
- Dec 23, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | AMFT146417 | CA | |
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
400 Estudillo Ave
San Leandro, CA 94577-4999
Mailing address
400 Estudillo Ave
San Leandro, CA 94577-4999
Phone (510) 924-0548
Other practice location 1
136 Valdivia Cir
San Ramon, CA 94583-2228
Phone (925) 752-2083
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbruner@paradisehome.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT146417 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751760000000",
"number": "1174283733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 ESTUDILLO AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774999",
"telephone_number": "510-924-0548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ESTUDILLO AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774999",
"telephone_number": "510-924-0548"
}
],
"practiceLocations": [
{
"address_1": "136 Valdivia Cir",
"address_purpose": "LOCATION",
"city": "San Ramon",
"state": "CA",
"postal_code": "945832228",
"country_code": "US",
"telephone_number": "925-752-2083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNER",
"first_name": "DARLICIA",
"middle_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-23",
"last_updated": "2025-07-06",
"certification_date": "2025-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT146417",
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbruner@paradisehome.org",
"affiliation": "N",
"address_1": "136 Valdivia Cir",
"city": "San Ramon",
"state": "CA",
"country_code": "US",
"postal_code": "945832228",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.