Active NPI
Jasjit Samra
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1306509658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 140869
- Practice address
- 1035 Market St Ste 400
San Francisco, CA 94103-1665 - Phone
- (415) 487-3100
- NPI assigned
- Oct 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Marriage & Family Therapist | 106H00000X | 140869 | CA | Primary |
Addresses
Primary practice location
1035 Market St Ste 400
San Francisco, CA 94103-1665
Mailing address
1035 Market St Ste 400
San Francisco, CA 94103-1665
Phone (415) 487-3100
Other practice location 1
1801 Vicente St
San Francisco, CA 94116-2923
Phone (415) 681-3211
Other practice location 2
1930 Market St
San Francisco, CA 94102-6228
Phone (415) 476-9916
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JassiS@edgewood.org | Direct | |
| Direct Messaging Address | jsamra@sfaf.org | Direct |
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 |
|---|---|---|---|
| 140869 | CA | MD | Marriage & Family Therapist |
Interoperability endpoints
- jassis@edgewood.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1306509658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 MARKET ST STE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941031665",
"telephone_number": "415-487-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 MARKET ST STE 400",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941031665",
"telephone_number": "415-487-3100"
}
],
"practiceLocations": [
{
"address_1": "1801 Vicente St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941162923",
"country_code": "US",
"telephone_number": "415-681-3211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1930 Market St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941026228",
"country_code": "US",
"telephone_number": "415-476-9916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMRA",
"first_name": "JASJIT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-14",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "140869",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JassiS@edgewood.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1801 Vicente St",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941162923",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsamra@sfaf.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1035 Market St Ste 400",
"city": "San Francisco",
"state": "CA",
"country_code": "US",
"postal_code": "941031665",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.