Active NPI
Paul Gorban, M.A.
- Marriage & Family Therapist
- Carmichael, CA
National Provider Identifier
1407253933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 74961
- Practice address
- 6147 Sutter Ave
Carmichael, CA 95608-2738 - Phone
- (916) 971-7640
- NPI assigned
- Nov 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 74961 | CA | Primary |
Addresses
Primary practice location
6147 Sutter Ave
Carmichael, CA 95608-2738
Mailing address
2948 Trigo Way
Sacramento, CA 95833-3733
Phone (530) 848-9333
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74961 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1407253933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2948 TRIGO WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958333733",
"telephone_number": "530-848-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6147 SUTTER AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956082738",
"telephone_number": "916-971-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORBAN",
"first_name": "PAUL",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-26",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "74961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.