Organization Active NPI

Insightcare Therapy

  • Clinic/Center
  • South San Francisco, CA
National Provider Identifier
1417707241
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INSIGHTCARE THERAPY
Doing business as
Insightcare Therapy
Practice address
1475 Huntington Ave Ste 218
South San Francisco, CA 94080-5967
Phone
(141) 569-9843
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alees Azar, LMFTNPI 1780127100
Title
Ceo
Phone
(415) 699-8436

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1475 Huntington Ave Ste 218
South San Francisco, CA 94080-5967

Mailing address

PO Box 2758
Fremont, CA 94536-0758
Phone (650) 762-8750

Other names 1

  • Insightcare Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240923001304 CA Part B Supplier - Clinic/Group Practice 0749721371 Receives reassigned benefits from 2 practitioners
Practice locations: South San Francisco, CA

National Provider Directory

National Provider Directory

Locations

1475 Huntington Ave
Ste 218
South San Francisco, CA 94080
Phone (415) 285-1649

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1417707241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945360758",
            "telephone_number": "650-762-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HUNTINGTON AVE STE 218",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805967",
            "telephone_number": "141-569-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHTCARE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "ALEES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-699-8436",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Insightcare Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.