Active NPI
Christian Fatima Alzubi
- Marriage & Family Therapist
- San Mateo, CA
National Provider Identifier
1861735409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 80787
- Practice address
- 225 37TH Ave
3Rd Floor
San Mateo, CA 94403-4324 - Phone
- (650) 573-2639
- NPI assigned
- Apr 2, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 80787 | CA | Primary |
Addresses
Primary practice location
225 37TH Ave
3Rd Floor
San Mateo, CA 94403-4324
Mailing address
2210 Hastings Dr
Apt 203
Belmont, CA 94002-3373
Phone (650) 218-9460
Other names 1
- Ms. Christian Fatima Ruiz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80787 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- christianalzubi@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1861735409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 HASTINGS DR",
"address_2": "APT 203",
"city": "BELMONT",
"state": "CA",
"postal_code": "940023373",
"telephone_number": "650-218-9460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 37TH AVE",
"address_2": "3RD FLOOR",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944034324",
"telephone_number": "650-573-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALZUBI",
"first_name": "CHRISTIAN",
"middle_name": "FATIMA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-02",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "80787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIAN",
"last_name": "RUIZ",
"middle_name": "FATIMA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.