Active NPI
Kathryn Sanguinetti
- Marriage & Family Therapist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC48065
- Practice address
- 1769 Park Ave
Suite 210
San Jose, CA 95126-2029 - Phone
- (408) 357-4034
- NPI assigned
- Oct 25, 2006
- Last updated
- Sep 27, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | MFC48065 | CA | Primary |
Addresses
Primary practice location
1769 Park Ave
Suite 210
San Jose, CA 95126-2029
Mailing address
1769 Park Ave
Suite 210
San Jose, CA 95126-2029
Phone (408) 357-4034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC48065 | CA | MD | Marriage & Family Therapist |
| 48065 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum for Health | Current | Accepting new patients | |
| Momentum for Health | Current | Accepting new patients | |
| Momentum for Health | Current | Accepting new patients |
Locations
540 N 1st St
San Jose, CA 95112
Phone (408) 510-3420
2001 The Alameda
San Jose, CA 95126
Phone (408) 938-6750
1922 The Alameda
Ste 420
San Jose, CA 95126
1922 The Alameda
Ste 316
San Jose, CA 95126
Phone (408) 637-0341
Organizations & group practices 3
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 Momentum for Health - Alameda Outpatient
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1154426807
-
dba Momentum for Health - Crossroads ART, ART OP
- Mental Illness Community Based Residential Treatment Facility
- San Jose, CA
- NPI 1215154992
-
dba Momentum for Health - ATS-OP White Rd
- Psychologist
- San Jose, CA
- NPI 1760181234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1750465928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1769 PARK AVE",
"address_2": "SUITE 210",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262029",
"telephone_number": "408-357-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1769 PARK AVE",
"address_2": "SUITE 210",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262029",
"telephone_number": "408-357-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGUINETTI",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC48065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.