| Julia Tisdale, LMFT | |
|
42875 Gatewood St, Fremont, CA 94538-4131 | |
| (510) 656-6438 | |
| Not Available |
| Full Name | Julia Tisdale |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 11 Years |
| Location | 42875 Gatewood St, Fremont, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598046708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 109508 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moona Medical Group Of California Pc | 2365955630 | 25 |
| Entity Name | Moona Medical Group of California PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023824836 PECOS PAC ID: 2365955630 Enrollment ID: O20250630003410 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Tisdale, LMFT 6221 Geary Blvd # Us, San Francisco, CA 94121-1887 Ph: (650) 269-9050 | Julia Tisdale, LMFT 42875 Gatewood St, Fremont, CA 94538-4131 Ph: (510) 656-6438 |
Casia Ravi, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St Ste E500, Fremont, CA 94538 Phone: 510-574-2157 |
Barbara Allen Maki, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39217 Liberty St Ste B-10, Fremont, CA 94538 Phone: 510-791-3322 Fax: 519-791-3325 |
Rhondda Zude, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St, Suite #e500, Fremont, CA 94538 Phone: 510-574-2100 |
Benedicta Ott, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St Ste E500, Fremont, CA 94538 Phone: 510-574-2100 |
Sarita Mokha, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39155 Liberty St Ste E500, Fremont, CA 94538 Phone: 510-574-2100 |
Nutsa Khakhiashvili, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39159 Paseo Padre Pkwy Ste 121, Fremont, CA 94538 Phone: 544-928-7954 |
Mr. Frederic Morrison, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 39803 Paseo Padre Pkwy Ste C, Fremont, CA 94538 Phone: 510-435-5326 Fax: 510-244-4787 |