Kambria H Evans, MED, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

103873 Issued in CA

Practice address

2155 S Bascom Ave Ste 212
Campbell, CA 95008-3279

Phone

(408) 769-5739

NPI assigned

Dec 18, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Kambria Evans Psychotherapy, PC

  • Mental Health Counselor
  • Campbell, CA
  • NPI 1417421504
  NPD (past) Authorized official

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1346712122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 S BASCOM AVE STE 212",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 S BASCOM AVE STE 212",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083279",
            "telephone_number": "408-769-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KAMBRIA",
        "middle_name": "H",
        "credential": "MED, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vannesa Marie Estrada
• Esvyda Health
• Esvyda, Inc.
• Mahsa Etesam
• Brittni Evans
• Tochie Ezeife
• F. Richard Noodleman MD a Professional Corporation
• Keith A. Fabisiak, MD
• Kathleen Fahey
• Laura Christine Fallico

• Marriage & Family Therapist in Campbell, CA
• Providers in Campbell, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.