Active NPI
Angela Valeriano Fowler, LMFT
- Marriage & Family Therapist
- Gilroy, CA
National Provider Identifier
1093820458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 41723
- Practice address
- 8339 Church St
Ste. 105
Gilroy, CA 95020-4453 - Phone
- (408) 848-3331
- Fax
- (408) 848-3354
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 41723 | CA | Primary |
Addresses
Primary practice location
8339 Church St
Ste. 105
Gilroy, CA 95020-4453
Mailing address
8339 Church St
Ste. 105
Gilroy, CA 95020-4453
Phone (408) 848-3331
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026287 | Other | CA | VMC PIN |
| 356728 | Other | CA | MHN PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 26, 2024 through Oct 26, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 41723 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093820458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8339 CHURCH ST",
"address_2": "STE. 105",
"city": "GILROY",
"state": "CA",
"postal_code": "950204453",
"telephone_number": "408-848-3331",
"fax_number": "408-848-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8339 CHURCH ST",
"address_2": "STE. 105",
"city": "GILROY",
"state": "CA",
"postal_code": "950204453",
"telephone_number": "408-848-3331",
"fax_number": "408-848-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "ANGELA",
"middle_name": "VALERIANO",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 41723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VMC PIN",
"identifier": "026287",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PIN",
"identifier": "356728",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.