Active NPI
Patricia L Jabuka, MARRIAGE FAMILY COUN
- Marriage & Family Therapist
- Concord, CA
National Provider Identifier
1841484870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- INTERN #53545
- Practice address
- 1410 Danzig PLZ
Suite 250
Concord, CA 94520-7979 - Phone
- (925) 676-2845
- NPI assigned
- Sep 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | INTERN #53545 | CA | Primary |
Addresses
Primary practice location
1410 Danzig PLZ
Suite 250
Concord, CA 94520-7979
Mailing address
1519 Contra Costa Blvd
Pleasant Hill, CA 94523-3054
Phone (925) 935-7463
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 |
|---|---|---|---|
| INTERN #53545 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188777600000",
"number": "1841484870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 CONTRA COSTA BLVD",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945233054",
"telephone_number": "925-935-7463",
"fax_number": "925-946-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 DANZIG PLZ",
"address_2": "SUITE 250",
"city": "CONCORD",
"state": "CA",
"postal_code": "945207979",
"telephone_number": "925-676-2845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JABUKA",
"first_name": "PATRICIA",
"middle_name": "L",
"credential": "MARRIAGE FAMILY COUN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-03",
"last_updated": "2007-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "INTERN #53545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.