Individual provider Active NPI

Monique Vazire, MFT

  • Marriage & Family Therapist
  • Mountain View, CA
National Provider Identifier
1356671895
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
42868 Issued in CA
Practice address
1059 El Monte Ave
Suite B
Mountain View, CA 94040-4601
Phone
(650) 248-1678
Fax
(650) 964-6994
NPI assigned
Jan 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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 42868 CA Primary

Addresses

Primary practice location

1059 El Monte Ave
Suite B
Mountain View, CA 94040-4601

Mailing address

3477 Kenneth Dr
Palo Alto, CA 94303-4219
Phone (650) 248-1678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3477 Kenneth Dr
Palo Alto, CA 94303-4219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42868CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1356671895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3477 KENNETH DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034219",
            "telephone_number": "650-248-1678",
            "fax_number": "650-964-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 EL MONTE AVE",
            "address_2": "SUITE B",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404601",
            "telephone_number": "650-248-1678",
            "fax_number": "650-964-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZIRE",
        "first_name": "MONIQUE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.