Individual provider Active NPI

Alan Okamoto, LMFT

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1225167372
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
48110 Issued in CA
Practice address
26137 La Paz Rd Ste 230
Mission Viejo, CA 92691-5337
Phone
(714) 608-6499
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 48110 CA Primary

Addresses

Primary practice location

26137 La Paz Rd Ste 230
Mission Viejo, CA 92691-5337

Mailing address

26137 La Paz Rd Ste 230
Mission Viejo, CA 92691-5337
Phone (949) 595-8610

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
I20241212002186 CA Practitioner - Marriage and Family Therapist 2365978442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriveworks Clinical - California PCGroup PAC ID 1759785645, 55 clinicians

Practice addresses (Care Compare)

2525 Camino del Rio S
Suite 301
San Diego, CA 92108-3784
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
48110CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - California PC Mental Health CurrentSince Nov 27, 2024 Accepting new patients
Western Youth Services CurrentSince Jun 11, 2023 Accepting new patients

Locations

171 Saxony Rd
Ste 106
Encinitas, CA 92024
Phone (760) 640-0270

26137 La Paz Rd
Ste 230
Mission Viejo, CA 92691
Phone (949) 595-8610

116 S Catalina Ave
Ste 109
Redondo Beach, CA 90277
Phone (617) 454-4916

2525 Camino del Rio S
Ste 301
San Diego, CA 92108
Phone (209) 689-2669

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1225167372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD STE 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915337",
            "telephone_number": "949-595-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26137 LA PAZ RD STE 230",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915337",
            "telephone_number": "714-608-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAMOTO",
        "first_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.