Active NPI
Keith York, MFT
- Marriage & Family Therapist
- Fremont, CA
National Provider Identifier
1932336088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 44127
- Practice address
- 2450 Peralta Blvd Ste 212
Fremont, CA 94536-3826 - Phone
- (510) 978-1116
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 44127 | CA | Primary |
Addresses
Primary practice location
2450 Peralta Blvd Ste 212
Fremont, CA 94536-3826
Mailing address
2400 Wilbur St
Oakland, CA 94602-3027
Phone (510) 978-1116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44127 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245110400000",
"number": "1932336088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 WILBUR ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946023027",
"telephone_number": "510-978-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 PERALTA BLVD STE 212",
"city": "FREMONT",
"state": "CA",
"postal_code": "945363826",
"telephone_number": "510-978-1116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "KEITH",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "44127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.