Individual provider Active NPI

Gitanjali Raman Thiruvadi

  • Marriage & Family Therapist
  • Concord, CA
National Provider Identifier
1407117161
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110775 Issued in CA
Practice address
2425 Bisso LN Ste 200
Concord, CA 94520
Phone
(925) 246-3401
Fax
(925) 646-5662
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 110775 CA Primary

Addresses

Primary practice location

2425 Bisso LN Ste 200
Concord, CA 94520

Mailing address

2425 Bisso LN Ste 200
Concord, CA 94520-4886
Phone (925) 246-3401

Other practice location 1

2425 Bisso Ln Ste 200
Concord, CA 94520
Phone (925) 246-3401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110775CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1407117161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 BISSO LN STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204886",
            "telephone_number": "925-246-3401",
            "fax_number": "925-646-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 BISSO LN STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "94520",
            "telephone_number": "925-246-3401",
            "fax_number": "925-646-5662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2425 Bisso Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "94520",
            "country_code": "US",
            "telephone_number": "925-246-3401",
            "fax_number": "925-646-5662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIRUVADI",
        "first_name": "GITANJALI RAMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.