Individual provider Active NPI

Pravindrajit Sandhu, MFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1770892283
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
103288 Issued in CA
Practice address
3996 Cesar Chavez St
San Francisco, CA 94131-2004
Phone
(415) 987-5780
NPI assigned
Sep 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 103288 CA Primary

Addresses

Primary practice location

3996 Cesar Chavez St
San Francisco, CA 94131-2004

Mailing address

3996 Cesar Chavez St
San Francisco, CA 94131-2004
Phone (415) 554-1480

Other practice location 1

214 Haight St
San Francisco, CA 94102-6127
Phone (415) 554-1480

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

LicenseStateTypeSpecialty
103288CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 Past Accepting new patients

Organizations & group practices 1

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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590796800000",
    "number": "1770892283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3996 CESAR CHAVEZ ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312004",
            "telephone_number": "415-554-1480",
            "fax_number": "415-503-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3996 CESAR CHAVEZ ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941312004",
            "telephone_number": "415-987-5780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Haight St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941026127",
            "country_code": "US",
            "telephone_number": "415-554-1480",
            "fax_number": "415-503-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "PRAVINDRAJIT",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103288",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.