Kenneth Edward St George, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC28125 Issued in CA

Practice address

390 Spar Ave
San Jose, CA 95117-1600

Phone

(408) 261-2481

Fax

(408) 241-6188

NPI assigned

Jan 3, 2007

Sex

Male

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 Arts

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376600874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 VAN DYCK DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872845",
            "telephone_number": "408-749-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 SPAR AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171600",
            "telephone_number": "408-261-2481",
            "fax_number": "408-241-6188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST GEORGE",
        "first_name": "KENNETH",
        "middle_name": "EDWARD",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aditya Srivatsan
• SSC San Jose Operating Company LP
• Susan Marietta St Claire, DC
• Patricia Norene St Clare, MFT
• Diane St Denis, RN
• Rebecca Giordano St George, LMFT CA. 28030
• St James Health Center Pharmacy
• Tamra Ellen St John, LVN
• Deborah Lynn St Julien, RNNP
• St. James Home Health, Inc.

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, 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 Jul 8, 2007; 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.