Active NPI
Rose Isela Amador
- Marriage & Family Therapist
- Gilroy, CA
National Provider Identifier
1992281836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 290 Ioof Ave
Gilroy, CA 95020-5204 - Phone
- (408) 871-4962
- NPI assigned
- Jul 13, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | CA | Primary |
Addresses
Primary practice location
290 Ioof Ave
Gilroy, CA 95020-5204
Mailing address
290 Ioof Ave
Gilroy, CA 95020-5204
Other practice location 1
2829 Watt Ave Ste 200
Sacramento, CA 95821-6245
Phone (916) 418-0828 ext. 260
Other practice location 2
1446 Ethan Way Ste 100
Sacramento, CA 95825-2214
Phone (916) 752-8258
Other practice location 3
1679 E Main St
El Cajon, CA 92021-5212
Phone (619) 441-1907
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Child & Family Services | Past | Accepting new patients |
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Sacramento, CA
- NPI 1295814739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1992281836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 IOOF AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "950205204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 IOOF AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "950205204",
"telephone_number": "408-871-4962"
}
],
"practiceLocations": [
{
"address_1": "2829 Watt Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958216245",
"country_code": "US",
"telephone_number": "916-418-0828 x260",
"fax_number": "916-418-0838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1446 Ethan Way Ste 100",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958252214",
"country_code": "US",
"telephone_number": "916-752-8258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1679 E Main St",
"address_purpose": "LOCATION",
"city": "El Cajon",
"state": "CA",
"postal_code": "920215212",
"country_code": "US",
"telephone_number": "619-441-1907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMADOR",
"first_name": "ROSE",
"middle_name": "ISELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-13",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"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": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.