Individual provider Active NPI

Alan John Javurek, LMFT

  • Marriage & Family Therapist
  • Carlsbad, CA
National Provider Identifier
1205984515
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 15922 Issued in CA
Practice address
2600 Gage Dr Apt 108
Carlsbad, CA 92010-5610
Phone
(408) 354-4068
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 MFT 15922 CA Primary

Addresses

Primary practice location

2600 Gage Dr Apt 108
Carlsbad, CA 92010-5610

Mailing address

2600 Gage Dr Apt 108
Carlsbad, CA 92010-5610
Phone (408) 348-2357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122003157 CA Practitioner - Marriage and Family Therapist 3173063120 Practice locations: Carlsbad, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Carlsbad, CA 92010
Phone (408) 348-2357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT 15922CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1205984515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GAGE DR APT 108",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920105610",
            "telephone_number": "408-348-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GAGE DR APT 108",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920105610",
            "telephone_number": "408-354-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVUREK",
        "first_name": "ALAN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 15922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.