Active NPI
Nadia Ghafoor
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1942768262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112385
- Practice address
- 401 Roland Way Ste 100
Oakland, CA 94621-2034 - Phone
- (510) 839-3800
- NPI assigned
- Mar 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CA | ||
| Marriage & Family Therapist | 106H00000X | 112385 | CA | Primary |
Addresses
Primary practice location
401 Roland Way Ste 100
Oakland, CA 94621-2034
Mailing address
401 Roland Way Ste 100
Oakland, CA 94621-2034
Phone (510) 839-3800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106H00000X | Other | CA | ALTERNATIVE FAMILY SERVICES |
| 106H00000X | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 112385 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1942768262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ROLAND WAY STE 100",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946212034",
"telephone_number": "510-839-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ROLAND WAY STE 100",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946212034",
"telephone_number": "510-839-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHAFOOR",
"first_name": "NADIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTERNATIVE FAMILY SERVICES",
"identifier": "106H00000X",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106H00000X",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "3454 Hillcrest Ave",
"city": "Antioch",
"state": "CA",
"country_code": "US",
"postal_code": "945318238",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.