Active NPI
Niko Kamiya Lavalle
- Marriage & Family Therapist
- Los Gatos, CA
National Provider Identifier
1790396364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 120677
- Practice address
- 431 Monterey Ave Ste 7
Los Gatos, CA 95030-5319 - Phone
- (215) 667-8883
- NPI assigned
- Aug 16, 2020
- Last updated
- Aug 16, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 120677 | CA | Primary |
Addresses
Primary practice location
431 Monterey Ave Ste 7
Los Gatos, CA 95030-5319
Mailing address
1165 Lincoln Ave # 8422
San Jose, CA 95125-3043
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
| License | State | Type | Specialty |
|---|---|---|---|
| 120677 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597536000000",
"number": "1790396364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 LINCOLN AVE # 8422",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951253043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 MONTEREY AVE STE 7",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950305319",
"telephone_number": "215-667-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVALLE",
"first_name": "NIKO",
"middle_name": "KAMIYA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-16",
"last_updated": "2020-08-16",
"certification_date": "2020-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "120677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.