Healthcare Provider Details

I. General information

NPI: 1457401226
Provider Name (Legal Business Name): JOSE LUIS ALEMAN MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6367 ASCOT DR
OAKLAND CA
94611-2525
US

IV. Provider business mailing address

6367 ASCOT DR
OAKLAND CA
94611-2525
US

V. Phone/Fax

Practice location:
  • Phone: 415-517-5144
  • Fax:
Mailing address:
  • Phone: 415-517-5144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number50939
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: