Individual provider Active NPI

Tania Gabriela Cisneros-Ventura, MFTI

  • Marriage & Family Therapist
  • Tracy, CA
National Provider Identifier
1356576342
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109684 Issued in CA
Practice address
35 E. 10TH St. Suite L
Tracy, CA 95376
Phone
(209) 637-0555
Fax
(209) 597-5551
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

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 109684 CA Primary

Addresses

Primary practice location

35 E. 10TH St. Suite L
Tracy, CA 95376

Mailing address

35 E. 10TH St. Suite L
Tracy, CA 95376
Phone (209) 637-0555

Other names 1

  • Mrs. Tania Gabriela Cisneros-Ventura Former name

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

LicenseStateTypeSpecialty
109684CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1356576342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E. 10TH ST. SUITE L",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-637-0555",
            "fax_number": "209-597-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E. 10TH ST. SUITE L",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-637-0555",
            "fax_number": "209-597-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISNEROS-VENTURA",
        "first_name": "TANIA",
        "middle_name": "GABRIELA",
        "name_prefix": "Mrs.",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "CISNEROS-VENTURA",
            "middle_name": "GABRIELA",
            "prefix": "MRS.",
            "credential": "LMFT #109684",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.