Individual provider Active NPI

Alyssa Noemi Zelaya, MFTI/AMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1689183279
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF90452 Issued in CA
Practice address
2744 E 11TH Street
Suite H02
Oakland, CA 94601-1509
Phone
(510) 760-0123
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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 IMF90452 CA Primary

Addresses

Primary practice location

2744 E 11TH Street
Suite H02
Oakland, CA 94601-1509

Mailing address

2817 High St Apt 19
Oakland, CA 94619-2593
Phone (415) 374-6251

Other identifiers 1

IdentifierTypeStateIssuer
IMF90452OtherCABBS-ISSUED INTERN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906001231 CA Practitioner - Marriage and Family Therapist 6608316534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

1701 Ocean Ave
San Francisco, CA 94112-1727
Phone (415) 452-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF90452CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco Current Accepting new patients
City & County of San Francisco CurrentSince Jun 24, 2024 Accepting new patients
City and County of San Francisco CurrentSince Jun 24, 2024 Accepting new patients
Brighter Beginnings Past Accepting new patients
Brighter Beginnings PastSince Dec 1, 2020 Accepting new patients

Locations

1701 Ocean Ave
San Francisco, CA 94112
Phone (415) 255-3699

760 Harrison St
San Francisco, CA 94107
Phone (415) 836-1700

Organizations & group practices 5

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": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1689183279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 HIGH ST APT 19",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946192593",
            "telephone_number": "415-374-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 E 11TH STREET",
            "address_2": "SUITE H02",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011509",
            "telephone_number": "510-760-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELAYA",
        "first_name": "ALYSSA",
        "middle_name": "NOEMI",
        "name_prefix": "Ms.",
        "credential": "MFTI/AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF90452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS-ISSUED INTERN NUMBER",
            "identifier": "IMF90452",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.