Individual provider Active NPI

Dario Jose Puga, LMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1245785609
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114540 Issued in CA
Practice address
7200 Bancroft Ave Ste 133
Oakland, CA 94605-2480
Phone
(510) 553-8500
NPI assigned
Aug 16, 2016
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 114540 CA Primary

Addresses

Primary practice location

7200 Bancroft Ave Ste 133
Oakland, CA 94605-2480

Mailing address

7200 Bancroft Ave Ste 133
Oakland, CA 94605-2480
Phone (408) 918-2618

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709001720 CA Practitioner - Marriage and Family Therapist 3577008069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Sep 9, 2024 Accepting new patients
Telecare Corporation CurrentSince Sep 9, 2024 Accepting new patients
Telecare Corporation Current Accepting new patients
Felton Institute Past Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

280 17th St
Oakland, CA 94612
Phone (510) 238-5020

7200 Bancroft Ave
Ste 133
Oakland, CA 94605
Phone (510) 254-5157

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1245785609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 133",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052480",
            "telephone_number": "408-918-2618",
            "fax_number": "408-579-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 133",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052480",
            "telephone_number": "510-553-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGA",
        "first_name": "DARIO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.