Individual provider Active NPI

Kathryn Sanguinetti

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1750465928
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC48065 Issued in CA
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240725004141 CA Practitioner - Marriage and Family Therapist 9931645900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC48065CAMDMarriage & Family Therapist
48065CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum for Health CurrentSince May 13, 2024 Accepting new patients
Momentum for Health Current Accepting new patients
Momentum for Health CurrentSince May 13, 2024 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.

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

Verify at the official NPI Registry.