Active NPI
Kaixin Zhang
- Clinical Social Worker
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 10815 Rancho Bernardo Rd Ste 370
San Diego, CA 92127-5707 - Phone
- (888) 588-8995
- NPI assigned
- Apr 5, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 95709 | CA | |
| Clinical Social Worker | 1041C0700X | Primary | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
10815 Rancho Bernardo Rd Ste 370
San Diego, CA 92127-5707
Mailing address
PO Box 530077
Atlanta, GA 30353-0077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95709 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union of Pan Asian Communities | Current | Accepting new patients | |
| Sud Specialty Group - Ca | Clinical | Current | Accepting new patients |
| Union of Pan Asian Communities | Current | Accepting new patients | |
| Union of Pan Asian Communities | Current | Accepting new patients | |
| Foresight Mental Health | Counselor | Past | Accepting new patients |
| Union of Pan Asian Communities | Past | Accepting new patients |
Locations
1031 25th St
San Diego, CA 92102
Phone (619) 232-6454
5348 University Ave
Ste 101
San Diego, CA 92105
Phone (619) 229-2999
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
Interoperability endpoints
- kaixin.zhang.1@25119.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
Clinical
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1669686127
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1629598073
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1699474478
-
- Counselor
- Sacramento, CA
- NPI 1902390537
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1861606956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1184088239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 530077",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303530077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10815 RANCHO BERNARDO RD STE 370",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275707",
"telephone_number": "888-588-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "KAIXIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-05",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "95709",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.