Individual provider Active NPI

Oscar Armando Carbajal, AMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1871966283
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
89518 Issued in CA
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

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241223002853 CA Practitioner - Marriage and Family Therapist 0446787881 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89518CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Nov 22, 2024 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.

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

Verify at the official NPI Registry.