Individual provider Active NPI

Jose Omar Alfaro, MFT

  • Marriage & Family Therapist
  • Lancaster, CA
National Provider Identifier
1194057190
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT106423 Issued in CA
Practice address
1805 W Avenue K Ste 203C
Lancaster, CA 93534
Phone
(661) 214-3044
Fax
(661) 579-9310
NPI assigned
Feb 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 LMFT106423 CA Primary

Addresses

Primary practice location

1805 W Avenue K Ste 203C
Lancaster, CA 93534

Mailing address

1805 W Avenue K Ste 203C
Lancaster, CA 93534-5925
Phone (661) 214-3044

Other practice location 1

44738 Sierra Hwy
Lancaster, CA 93534-3225
Phone (626) 395-7100

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
LMFT106423CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Marriage & Family Counseling Services, Inc. Marriage & Family Therapist PastSince Sep 1, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1194057190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W AVENUE K STE 203C",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935345925",
            "telephone_number": "661-214-3044",
            "fax_number": "661-579-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W AVENUE K STE 203C",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "93534",
            "telephone_number": "661-214-3044",
            "fax_number": "661-579-9310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44738 Sierra Hwy",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935343225",
            "country_code": "US",
            "telephone_number": "626-395-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFARO",
        "first_name": "JOSE",
        "middle_name": "OMAR",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-02",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT106423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.