Active NPI
Jasmine Marquez
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1730557190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF73239
- Practice address
- 684 Ellis St
San Francisco, CA 94109-8090 - Phone
- (415) 852-5300
- Fax
- (415) 749-2791
- NPI assigned
- Sep 2, 2015
- Last updated
- Sep 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF73239 | CA | Primary |
Addresses
Primary practice location
684 Ellis St
San Francisco, CA 94109-8090
Mailing address
1711 Balboa St
San Francisco, CA 94121-3101
Phone (323) 348-0113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720385032 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF73239 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Housing Partnership | Past | Accepting new patients | |
| Community Housing Partnership | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HomeRise - Essex House
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1134421621
-
dba Community Housing Partnership - Essex House
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1720385032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1730557190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 BALBOA ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941213101",
"telephone_number": "323-348-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "684 ELLIS ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941098090",
"telephone_number": "415-852-5300",
"fax_number": "415-749-2791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARQUEZ",
"first_name": "JASMINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-02",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF73239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720385032",
"state": "CA"
}
],
"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 Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.