Individual provider Active NPI

Paul Juranovich, MFT

  • Marriage & Family Therapist
  • Martinez, CA
National Provider Identifier
1467788737
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
52218 Issued in CA
Practice address
1340 Arnold Dr Ste 200
Martinez, CA 94553-4189
Phone
(888) 678-7277
NPI assigned
Oct 21, 2009
Last updated
Apr 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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 52218 CA Primary

Addresses

Primary practice location

1340 Arnold Dr Ste 200
Martinez, CA 94553-4189

Mailing address

1340 Arnold Dr Ste 200
Martinez, CA 94553-4189
Phone (888) 678-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206003486 CA Practitioner - Marriage and Family Therapist 5597108654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52218CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County CurrentSince Jul 9, 2025 Accepting new patients
Contra Costa County Current Accepting new patients
La Cheim School, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1467788737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 ARNOLD DR STE 200",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534189",
            "telephone_number": "888-678-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 ARNOLD DR STE 200",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534189",
            "telephone_number": "888-678-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURANOVICH",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-21",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.