Individual provider Active NPI

Xiaoyin Ein Zhong

  • Marriage & Family Therapist
  • Los Osos, CA
National Provider Identifier
1841793346
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
131490 Issued in CA
Practice address
2048 Lost Oak Dr # B
Los Osos, CA 93402-3352
Phone
(626) 548-9262
NPI assigned
Mar 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 131490 CA Primary

Addresses

Primary practice location

2048 Lost Oak Dr # B
Los Osos, CA 93402-3352

Mailing address

2048 Lost Oak Dr # B
Los Osos, CA 93402-3352

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
I20260203001774 CA Practitioner - Marriage and Family Therapist 7416435151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2048 Lost Oak Dr B
Los Osos, CA 93402-3352

39159 Paseo Padre Pkwy
Suite 121
Fremont, CA 94538-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
131490CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
3Prong CurrentSince Jan 1, 2026 Accepting new patients

Locations

39159 Paseo Padre Pkwy
Ste 121
Fremont, CA 94538
Phone (510) 952-1190

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": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1841793346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 LOST OAK DR # B",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 LOST OAK DR # B",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023352",
            "telephone_number": "626-548-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHONG",
        "first_name": "XIAOYIN",
        "middle_name": "EIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-12",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Osos, CA

Sources for this page

Verify at the official NPI Registry.