Active NPI
Oscar Armando Carbajal, AMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1871966283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 89518
- Practice address
- 2829 Watt Ave Ste 200
Sacramento, CA 95821-6245 - Phone
- (916) 418-0828
- Fax
- (916) 418-0838
- NPI assigned
- Nov 6, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 89518 | CA | Primary |
Addresses
Primary practice location
2829 Watt Ave Ste 200
Sacramento, CA 95821-6245
Mailing address
6509 Larry Way
North Highlands, CA 95660-4011
Phone (707) 889-6374
Other practice location 1
46900 Ocean Dr
Gualala, CA 95445-8353
Phone (707) 884-4005
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89518 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Marriage & Family Therapist | Current | Accepting new patients |
| Heartland Child & Family Services | Past | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 2
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.
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
Marriage & Family Therapist
-
- Adolescent and Children Mental Health Clinic/Center
- Sacramento, CA
- NPI 1295814739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1871966283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6509 LARRY WAY",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956604011",
"telephone_number": "707-889-6374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 WATT AVE STE 200",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958216245",
"telephone_number": "916-418-0828",
"fax_number": "916-418-0838"
}
],
"practiceLocations": [
{
"address_1": "46900 Ocean Dr",
"address_purpose": "LOCATION",
"city": "Gualala",
"state": "CA",
"postal_code": "954458353",
"country_code": "US",
"telephone_number": "707-884-4005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARBAJAL",
"first_name": "OSCAR",
"middle_name": "ARMANDO",
"credential": "AMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-06",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "89518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.