Individual provider Active NPI

Yasamin Fani

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1922606144
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
141347 Issued in CA
Practice address
11838 Bernardo Plaza CT Ste 250
San Diego, CA 92128-2434
Phone
(858) 776-8804
Fax
(858) 925-2085
NPI assigned
Oct 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 141347 CA Primary

Addresses

Primary practice location

11838 Bernardo Plaza CT Ste 250
San Diego, CA 92128-2434

Mailing address

11838 Bernardo Plaza CT Ste 250
San Diego, CA 92128-2434
Phone (858) 776-8804

Other practice location 1

1031 25th St
San Diego, CA 92102-2102
Phone (619) 232-6454

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
141347CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Connections Therapy, Inc. Marriage & Family Therapist CurrentSince Jul 17, 2022 Accepting new patients

Locations

11838 Bernardo Plaza Ct
Ste 250
San Diego, CA 92128
Phone (858) 367-3622

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1922606144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 BERNARDO PLAZA CT STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282434",
            "telephone_number": "858-776-8804",
            "fax_number": "858-925-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11838 BERNARDO PLAZA CT STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282434",
            "telephone_number": "858-776-8804",
            "fax_number": "858-925-2085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 25th St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921022102",
            "country_code": "US",
            "telephone_number": "619-232-6454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANI",
        "first_name": "YASAMIN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "141347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.