Individual provider Active NPI

Jason Saffer, M.A. M.F.T.

  • Marriage & Family Therapist
  • Hercules, CA
National Provider Identifier
1396908174
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC8807 Issued in CA
Practice address
277 S Wildwood
Hercules, CA 94547-3561
Phone
(510) 724-8000
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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 MFC8807 CA Primary

Addresses

Primary practice location

277 S Wildwood
Hercules, CA 94547-3561

Mailing address

277 S Wildwood
Hercules, CA 94547-3561

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 5, 2026 through Jul 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC8807CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Creative Growth CurrentSince Apr 17, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1396908174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 S WILDWOOD",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945473561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 S WILDWOOD",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945473561",
            "telephone_number": "510-724-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFER",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "M.A. M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC8807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hercules, CA

Sources for this page

Verify at the official NPI Registry.