Individual provider Active NPI

Jose Manuel Tamez, LMFT

  • Marriage & Family Therapist
  • Visalia, CA
National Provider Identifier
1073730826
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125505 Issued in CA
Practice address
1830 S Central St
Visalia, CA 93277-4418
Phone
(559) 730-2969
Fax
(559) 730-2991
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 93125 CA
Marriage & Family Therapist 106H00000X 125505 CA Primary

Addresses

Primary practice location

1830 S Central St
Visalia, CA 93277-4418

Mailing address

1830 S Central St
Visalia, CA 93277-4418
Phone (559) 730-2969

Other identifiers 1

IdentifierTypeStateIssuer
1669559878OtherCAART NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621002659 CA Practitioner - Marriage and Family Therapist 6608319348 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
93125CAMDMarriage & Family Therapist
125505CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince May 22, 2024 Accepting new patients
Tulare County Office of Education CurrentSince Oct 29, 2023 Accepting new patients

Locations

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

1830 S Central St
Visalia, CA 93277
Phone (559) 730-2969

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1073730826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S CENTRAL ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774418",
            "telephone_number": "559-730-2969",
            "fax_number": "559-730-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S CENTRAL ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774418",
            "telephone_number": "559-730-2969",
            "fax_number": "559-730-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMEZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "93125",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ART NPI NUMBER",
            "identifier": "1669559878",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.