Individual provider Active NPI

William Jow

  • Marriage & Family Therapist
  • San Pedro, CA
National Provider Identifier
1205037207
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 50831 Issued in CA
Practice address
454 W 6TH St
San Pedro, CA 90731-2632
Phone
(310) 833-9300
Fax
(310) 833-9304
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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 MFC 50831 CA Primary

Addresses

Primary practice location

454 W 6TH St
San Pedro, CA 90731-2632

Mailing address

3141 Via la Selva
Palos Verdes Estates, CA 90274
Phone (310) 619-5793

Other names 1

  • Bill Jow Other name

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
MFC 50831CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1205037207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 VIA LA SELVA",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "310-619-5793",
            "fax_number": "310-373-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W 6TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312632",
            "telephone_number": "310-833-9300",
            "fax_number": "310-833-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOW",
        "first_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 50831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILL",
            "last_name": "JOW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.