Healthcare Provider Details

I. General information

NPI: 1891141800
Provider Name (Legal Business Name): BRIANNA CHERI BITZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRI BITZ

II. Dates (important events)

Enumeration Date: 05/09/2016
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date: 11/20/2025
Reactivation Date: 12/10/2025

III. Provider practice location address

126 W 25TH AVE SUITE 202
SAN MATEO CA
94403-2208
US

IV. Provider business mailing address

650 N DELAWARE ST
SAN MATEO CA
94401-1732
US

V. Phone/Fax

Practice location:
  • Phone: 510-482-2244
  • Fax:
Mailing address:
  • Phone: 650-558-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number120901
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: