Active NPI
Vincenza J Baldino, MFC
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1801007489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 24797
- Practice address
- 1727 Martin Luther King Jr Way
Suite 109
Oakland, CA 94612-1358 - Phone
- (510) 893-9230
- Fax
- (510) 893-2074
- NPI assigned
- May 24, 2007
- 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 | MFC 24797 | CA | Primary |
Addresses
Primary practice location
1727 Martin Luther King Jr Way
Suite 109
Oakland, CA 94612-1358
Mailing address
1727 Martin Luther King Jr Way Ste 105
Oakland, CA 94612-1358
Phone (510) 893-9230
Other practice location 1
236 Georgia St Ste 200B
Vallejo, CA 94590-5962
Phone (510) 368-4147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 6, 2024 through Mar 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24797 | CA | MD | Clinical Social Worker |
| MFC 24797 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720310400000",
"number": "1801007489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1727 MARTIN LUTHER KING JR WAY STE 105",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121358",
"telephone_number": "510-893-9230",
"fax_number": "510-893-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1727 MARTIN LUTHER KING JR WAY",
"address_2": "SUITE 109",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121358",
"telephone_number": "510-893-9230",
"fax_number": "510-893-2074"
}
],
"practiceLocations": [
{
"address_1": "236 Georgia St Ste 200B",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945905962",
"country_code": "US",
"telephone_number": "510-368-4147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALDINO",
"first_name": "VINCENZA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "MFC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2024-07-07",
"certification_date": "2024-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 24797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.