Individual provider Active NPI

Perry Ray Partlow

  • Marriage & Family Therapist
  • San Carlos, CA
National Provider Identifier
1265060651
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
154852 Issued in CA
Practice address
1692 El Camino Real
San Carlos, CA 94070-5208
Phone
(650) 418-5688
Fax
(650) 817-9074
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 154852 CA Primary

Addresses

Primary practice location

1692 El Camino Real
San Carlos, CA 94070-5208

Mailing address

1692 El Camino Real
San Carlos, CA 94070-5208
Phone (650) 418-5688

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
I20260604004380 CA Practitioner - Marriage and Family Therapist 6103397666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1080 Marina Village Pkwy
Suite 100
Alameda, CA 94501-1011

1080 Marina Village Pkwy
Suite 100
Alameda, CA 94501-1078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
154852CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Mar 5, 2023 Accepting new patients
Healthright 360 Case Manager/Care Coordinator PastSince Oct 1, 2020 Accepting new patients

Locations

300 Harbor Blvd
Belmont, CA 94002
Phone (650) 317-0580

1692 El Camino Real
San Carlos, CA 94070
Phone (650) 416-4617

Organizations & group practices 3

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1265060651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705208",
            "telephone_number": "650-418-5688",
            "fax_number": "650-817-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705208",
            "telephone_number": "650-418-5688",
            "fax_number": "650-817-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTLOW",
        "first_name": "PERRY",
        "middle_name": "RAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.