Individual provider Active NPI

Tatiana Pekker, MFT

  • Marriage & Family Therapist
  • San Mateo, CA
National Provider Identifier
1881958650
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC51651 Issued in CA
Practice address
327 N San Mateo Dr
Ursa4Minor@Yahoo.Com
San Mateo, CA 94401-2543
Phone
(650) 279-2768
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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 MFC51651 CA Primary

Addresses

Primary practice location

327 N San Mateo Dr
Ursa4Minor@Yahoo.Com
San Mateo, CA 94401-2543

Mailing address

1013 Amador Ave
Sunnyvale, CA 94085-3431
Phone (650) 279-2768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC51651CAMDMarriage & Family Therapist
51651CAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1881958650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 AMADOR AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940853431",
            "telephone_number": "650-279-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N SAN MATEO DR",
            "address_2": "URSA4MINOR@YAHOO.COM",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012543",
            "telephone_number": "650-279-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKKER",
        "first_name": "TATIANA",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.