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GIOVANNI JAMES CHISHOLM
NPI 1144639329
Marriage & Family Therapist in San Leandro, CA

Active since August 12, 2014PECOS EnrolledAccepts Medicare Assignment
2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 30, 2021, Oct 21, 2019, Mar 4, 2016 (3 updates tracked since 2016).

About Giovanni James Chisholm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIOVANNI JAMES CHISHOLM (NPI 1144639329) is an individual marriage & family therapist in San Leandro, California, licensed in California (114730) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1144639329
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameGIOVANNI JAMES CHISHOLM
Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132
Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444
Phone(510) 317-1444
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 12, 2014
Last NPPES UpdateDecember 30, 20213 updates tracked since enumeration
✔ NPI 1144639329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 114730
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
2275 ARLINGTON DR, San Leandro, CA 94578
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Giovanni James Chisholm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365886074
PECOS Enrollment IDI20240221003491
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Giovanni Chisholm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
16 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANUSHEH N WARDA
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 481-1222
RASHIDA BREMNER ONWUKA
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MEREDITH JOHNSTON
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
CLAUDIA FIGUEROA
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1437
JACQUELYN OWENS
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
EVA ADILENE REYES GARCIA
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MICHELLEE HARRIS
Counselor (Mental Health)
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444
MELANIE DAVENPORT
Counselor
2275 ARLINGTON DR
SAN LEANDRO, CA 94578
Alameda County (510) 317-1444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Giovanni Chisholm's NPI number?

The NPI number for Giovanni Chisholm is 1144639329. It was assigned to this individual provider in the NPPES registry on August 12, 2014.

Where is Giovanni Chisholm located?

Giovanni Chisholm practices at 2275 Arlington Dr, San Leandro, CA 94578. The listed phone number is (510) 317-1444.

What is Giovanni Chisholm's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Giovanni Chisholm enrolled in Medicare?

Yes. Giovanni Chisholm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Giovanni Chisholm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Giovanni Chisholm reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Giovanni Chisholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Giovanni Chisholm was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.