Individual provider Active NPI

Alexander Q Dang, M.A.; LMFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1609097385
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 51923 Issued in CA
Practice address
10 N San Pedro Rd
Suite 1020
San Rafael, CA 94903-4178
Phone
(415) 473-4354
Fax
(415) 473-4307
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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 MFC 51923 CA Primary

Addresses

Primary practice location

10 N San Pedro Rd
Suite 1020
San Rafael, CA 94903-4178

Mailing address

10 N San Pedro Rd
Suite 1020
San Rafael, CA 94903-4178
Phone (415) 473-4354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 51923CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Marin PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1609097385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N SAN PEDRO RD",
            "address_2": "SUITE 1020",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034178",
            "telephone_number": "415-473-4354",
            "fax_number": "415-473-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N SAN PEDRO RD",
            "address_2": "SUITE 1020",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949034178",
            "telephone_number": "415-473-4354",
            "fax_number": "415-473-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "ALEXANDER",
        "middle_name": "Q",
        "credential": "M.A.; LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 51923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.