Individual provider Active NPI

Pirouz Ganji

  • Clinical Psychologist
  • San Francisco, CA
National Provider Identifier
1588943195
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSB37377 Issued in CA
Practice address
870 Market St Ste 1219
San Francisco, CA 94102-2907
Phone
(415) 562-7689
NPI assigned
Aug 12, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSB37377 CA Primary

Addresses

Primary practice location

870 Market St Ste 1219
San Francisco, CA 94102-2907

Mailing address

870 Market St Ste 1219
San Francisco, CA 94102-2907
Phone (415) 562-7689

Other practice location 1

11325 SE 79th Pl
Newcastle, WA 98056-9124
Phone (949) 290-5776

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

LicenseStateTypeSpecialty
PSB37377CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1588943195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 1219",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022907",
            "telephone_number": "415-562-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST STE 1219",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941022907",
            "telephone_number": "415-562-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11325 SE 79th Pl",
            "address_purpose": "LOCATION",
            "city": "Newcastle",
            "state": "WA",
            "postal_code": "980569124",
            "country_code": "US",
            "telephone_number": "949-290-5776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANJI",
        "first_name": "PIROUZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB37377",
            "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 Jul 21, 2022; 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.