Healthcare Provider Details

I. General information

NPI: 1669388724
Provider Name (Legal Business Name): MARTHA BEJAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 CASTRO ST
MOUNTAIN VIEW CA
94040-2505
US

IV. Provider business mailing address

1400 MONTECITO AVE
MOUNTAIN VIEW CA
94043-4590
US

V. Phone/Fax

Practice location:
  • Phone: 650-526-3570
  • Fax:
Mailing address:
  • Phone: 408-472-3822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10228
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number210146234
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: