Active NPI
Amanda J. Somberg, LMFT
- Marriage & Family Therapist
- Walnut Creek, CA
National Provider Identifier
1245560325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 41275
- Practice address
- 2910 Camino Diablo
Suite 200
Walnut Creek, CA 94597-3936 - Phone
- (925) 588-4777
- NPI assigned
- Jan 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 41275 | CA | Primary |
Addresses
Primary practice location
2910 Camino Diablo
Suite 200
Walnut Creek, CA 94597-3936
Mailing address
2910 Camino Diablo
Suite 200
Walnut Creek, CA 94597-3936
Phone (925) 588-4777
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241002003626 | CA | Practitioner - Marriage and Family Therapist | 7315478229 | Practice locations: Walnut Creek, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2910 Camino Diablo
Suite 200
Walnut Creek, CA 94597-3953
Phone (925) 588-4777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41275 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1245560325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 CAMINO DIABLO",
"address_2": "SUITE 200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973936",
"telephone_number": "925-588-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 CAMINO DIABLO",
"address_2": "SUITE 200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945973936",
"telephone_number": "925-588-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMBERG",
"first_name": "AMANDA",
"middle_name": "J.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "41275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.