Individual provider Active NPI

Jon Amate, M.F.T.

  • Marriage & Family Therapist
  • Lompoc, CA
National Provider Identifier
1164595393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC24729 Issued in CA
Practice address
401 E Cypress Ave
2ND Floor
Lompoc, CA 93436-6806
Phone
(805) 737-7715
Fax
(805) 737-7726
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC24729 CA Primary

Addresses

Primary practice location

401 E Cypress Ave
2ND Floor
Lompoc, CA 93436-6806

Mailing address

401 E Cypress Ave
2ND Floor
Lompoc, CA 93436-6806
Phone (805) 737-7715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC24729CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164595393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E CYPRESS AVE",
            "address_2": "2ND FLOOR",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366806",
            "telephone_number": "805-737-7715",
            "fax_number": "805-737-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CYPRESS AVE",
            "address_2": "2ND FLOOR",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366806",
            "telephone_number": "805-737-7715",
            "fax_number": "805-737-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATE",
        "first_name": "JON",
        "name_prefix": "Mr.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC24729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.