Individual provider Active NPI

Kathi Isabella Delarosa

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1750625836
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT99806 Issued in CA
Practice address
3636 N. First St. Suites 162,112,124
Fresno, CA 93726
Phone
(559) 476-2166
NPI assigned
Nov 15, 2012
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Marriage & Family Therapist 106H00000X LMFT99806 CA Primary

Addresses

Primary practice location

3636 N. First St. Suites 162,112,124
Fresno, CA 93726

Mailing address

3636 N 1St St Ste 162
Fresno, CA 93726-6869
Phone (449) 476-2166

Other practice location 1

83 E Shaw Ave Ste 102
Fresno, CA 93710-7616
Phone (255) 926-0167 ext. 6109

Other practice location 2

3636 N 1st St Ste 124112
Fresno, CA 93726-6800
Phone (559) 476-2177

Other practice location 3

3636 N 1st St Ste 162
Fresno, CA 93726-6869
Phone (559) 476-2166

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
I20240313002103 CA Practitioner - Marriage and Family Therapist 9537505458 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT99806CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
Turning Point of Central California, Inc. Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Sep 8, 2024 Accepting new patients
Permanente Medical Group Inc CurrentSince Sep 8, 2024 Accepting new patients
Turning Point of Central California, Inc Mental Health Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

3636 N 1st St
Ste 124
Fresno, CA 93726
Phone (559) 224-4366

3636 N 1st St
Ste 162
Fresno, CA 93726
Phone (559) 221-1107

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

4785 N 1st St
Fresno, CA 93726
Phone (559) 448-4555

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

615 S Atwood St
Visalia, CA 93277
Phone (559) 730-8086

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

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, 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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1750625836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 162",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266869",
            "telephone_number": "449-476-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N. FIRST ST. SUITES 162,112,124",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93726",
            "telephone_number": "559-476-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 E Shaw Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937107616",
            "country_code": "US",
            "telephone_number": "255-926-0167 x6109",
            "fax_number": "559-226-1559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 N 1st St Ste 124112",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266800",
            "country_code": "US",
            "telephone_number": "559-476-2177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3636 N 1st St Ste 162",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937266869",
            "country_code": "US",
            "telephone_number": "559-476-2166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAROSA",
        "first_name": "KATHI",
        "middle_name": "ISABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT99806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.