Individual provider Active NPI

Ian Vianu, LMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1750714796
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99388 Issued in CA
Practice address
2577 San Pablo Ave
Oakland, CA 94612-1159
Phone
(510) 292-5698
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 83012 CA
Marriage & Family Therapist 106H00000X 83012 CA
Marriage & Family Therapist 106H00000X 99388 CA Primary

Addresses

Primary practice location

2577 San Pablo Ave
Oakland, CA 94612-1159

Mailing address

3021 Telegraph Ave Ste C
Berkeley, CA 94705-2072
Phone (510) 502-9655

Other practice location 1

20094 Mission Blvd
Hayward, CA 94541-1237
Phone (510) 727-9755

Other practice location 2

3021 Telegraph Ave Ste C
Berkeley, CA 94705-2072
Phone (510) 502-9655

Other practice location 3

2006 Dwight Way Ste 103
Berkeley, CA 94704-2633
Phone (510) 502-9655

Other practice location 4

1801 Vicente St
San Francisco, CA 94116-2923
Phone (415) 681-3211

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
I20241119001633 CA Order and Referring Only - Marriage and Family Therapist 1759816416

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1340 Arnold Dr
Suite 225
Martinez, CA 94553-4189

2400 Bisso LN
Suite D1
Concord, CA 94520-4832

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
83012CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Humanistic Alternatives to Addiction, Research and Treatment Inc. Past Accepting new patients
Humanistic Alternatives to Addiction Research and Treatment, Inc. 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1750714796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 TELEGRAPH AVE STE C",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052072",
            "telephone_number": "510-502-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 SAN PABLO AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121159",
            "telephone_number": "510-292-5698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20094 Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945411237",
            "country_code": "US",
            "telephone_number": "510-727-9755",
            "fax_number": "510-727-9746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3021 Telegraph Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052072",
            "country_code": "US",
            "telephone_number": "510-502-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 Dwight Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947042633",
            "country_code": "US",
            "telephone_number": "510-502-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Vicente St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941162923",
            "country_code": "US",
            "telephone_number": "415-681-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIANU",
        "first_name": "IAN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "83012",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83012",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.