Active NPI
Yvette Fama
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1497982862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 92458
- Practice address
- 3150 18TH St Ste 413
San Francisco, CA 94110-2077 - Phone
- (650) 200-3159
- NPI assigned
- Jun 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4963 | CA | |
| Marriage & Family Therapist | 106H00000X | 92458 | CA | Primary |
Addresses
Primary practice location
3150 18TH St Ste 413
San Francisco, CA 94110-2077
Mailing address
3150 18TH St Ste 413
San Francisco, CA 94110-2077
Phone (650) 200-3159
Other practice location 1
72 highland
so san francisco, CA 94080
Phone (415) 826-7909
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
| License | State | Type | Specialty |
|---|---|---|---|
| 92458 | CA | MD | Clinical Social Worker |
| 4963 | CA | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1497982862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 18TH ST STE 413",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102077",
"telephone_number": "650-200-3159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 18TH ST STE 413",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102077",
"telephone_number": "650-200-3159"
}
],
"practiceLocations": [
{
"address_1": "72 highland",
"address_purpose": "LOCATION",
"city": "so san francisco",
"state": "CA",
"postal_code": "94080",
"country_code": "US",
"telephone_number": "415-826-7909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAMA",
"first_name": "YVETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-12",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "4963",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "92458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.