Individual provider Active NPI

Desirae Torrens, LMFT

  • Marriage & Family Therapist
  • San Leandro, CA
National Provider Identifier
1407058167
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53874 Issued in CA
Practice address
303 W Joaquin Ave Ste 110
San Leandro, CA 94577
Phone
(510) 878-9709
Fax
(510) 225-2570
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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 53874 CA Primary

Addresses

Primary practice location

303 W Joaquin Ave Ste 110
San Leandro, CA 94577

Mailing address

303 W Joaquin Ave Ste 110
San Leandro, CA 94577-3667
Phone (510) 878-9709

Other practice location 1

1918 Bonita Ave
2nd Floor
Berkeley, CA 94704-1014
Phone (510) 394-2240

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
53874CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Savera Psychological Services PC Past Accepting new patients
Restore Womens Wellness Centers Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1407058167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W JOAQUIN AVE STE 110",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773667",
            "telephone_number": "510-878-9709",
            "fax_number": "510-225-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W JOAQUIN AVE STE 110",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "94577",
            "telephone_number": "510-878-9709",
            "fax_number": "510-225-2570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1918 Bonita Ave",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041014",
            "country_code": "US",
            "telephone_number": "510-394-2240",
            "fax_number": "510-225-2570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRENS",
        "first_name": "DESIRAE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.