Active NPI
Jeremy Lun Hao Easton, M.S.
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1194892208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC48646
- Practice address
- 913 Willow St Ste 201
San Jose, CA 95125-2380 - Phone
- (408) 496-2604
- NPI assigned
- Nov 30, 2006
- Last updated
- Feb 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 48684 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC48646 | CA | Primary |
Addresses
Primary practice location
913 Willow St Ste 201
San Jose, CA 95125-2380
Mailing address
3868 Thousand Oaks Dr
San Jose, CA 95136-1450
Phone (650) 862-8203
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF 48684 | CA | MD | Marriage & Family Therapist |
| MFC48646 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1194892208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3868 THOUSAND OAKS DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951361450",
"telephone_number": "650-862-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 WILLOW ST STE 201",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951252380",
"telephone_number": "408-496-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTON",
"first_name": "JEREMY",
"middle_name": "LUN HAO",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 48684",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC48646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
- Easter Seals Bay Area
- Eastern European Service Agency
- Eastfield Ming Quong (EMQ Children & Family Services Robert Sanders)
- Mark Edward Eastham, M.D.
- Mark A Eastland, D.C.
- Eastridge Optometry
- Easy GYN Clinical & Research Centers of North America, Inc.
- Loma Eaves
- Ebadat Chiropractic Inc,
- Ebadat Chiropractic Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.