Active NPI
Isamar Ermese Delgado, LMFT 111868
- Marriage & Family Therapist
- Roseville, CA
National Provider Identifier
1639514441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 111868
- Practice address
- 1420 Rocky Ridge Dr Ste 120
Roseville, CA 95661-2834 - Phone
- (855) 501-1004
- NPI assigned
- May 7, 2013
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 91709 | CA | |
| Marriage & Family Therapist | 106H00000X | 111868 | CA | Primary |
Addresses
Primary practice location
1420 Rocky Ridge Dr Ste 120
Roseville, CA 95661-2834
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Other practice location 1
770 L St Ste 950
Sacramento, CA 95814-3361
Phone (916) 572-7746
Other practice location 2
2716 Freedom Blvd.
Freedom, CA 95019
Phone (831) 688-6293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ91892Z | Other | CA | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
Other names 1
- Isamar Ermese Baeza
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1639514441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 ROCKY RIDGE DR STE 120",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612834",
"telephone_number": "855-501-1004"
}
],
"practiceLocations": [
{
"address_1": "770 L St Ste 950",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958143361",
"country_code": "US",
"telephone_number": "916-572-7746",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2716 Freedom Blvd.",
"address_purpose": "LOCATION",
"city": "Freedom",
"state": "CA",
"postal_code": "95019",
"country_code": "US",
"telephone_number": "831-688-6293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DELGADO",
"first_name": "ISAMAR",
"middle_name": "ERMESE",
"credential": "LMFT 111868",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-07",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "91709",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "111868",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SANTA CRUZ COUNTY MEDICARE GROUP PTAN#",
"identifier": "ZZZ91892Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ISAMAR",
"last_name": "BAEZA",
"middle_name": "ERMESE",
"credential": "LMFT 111868",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.