Richard Tjandra

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

149900 Issued in CA

Practice address

4100 Moorpark Ave Ste 120
San Jose, CA 95117-1707

Phone

(408) 320-5960

NPI assigned

Nov 3, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1548139181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 934",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945660093",
            "telephone_number": "925-307-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MOORPARK AVE STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171707",
            "telephone_number": "408-320-5960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41111 Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945393922",
            "country_code": "US",
            "telephone_number": "408-320-5960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4677 Old Ironsides Dr Ste 445",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950541826",
            "country_code": "US",
            "telephone_number": "408-320-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TJANDRA",
        "first_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.