Active NPI
Joe Ninomiya Jr., M.A., M.F.C., C.R.C.
- Marriage & Family Therapist
- Bakersfield, CA
National Provider Identifier
1245446814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC24583
- Practice address
- 5329 Office Center CT Ste 228
Bakersfield, CA 93309-7419 - Phone
- (559) 264-7967
- NPI assigned
- May 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC24583 | CA | Primary |
Addresses
Primary practice location
5329 Office Center CT Ste 228
Bakersfield, CA 93309-7419
Mailing address
PO Box 82214
Bakersfield, CA 93380-2214
Phone (559) 264-7967
Other names 1
- Mr. Joe Ninomiya
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC24583 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Sierra Vista | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | Accepting new patients | |
| Clinica Sierra Vista | Current | Accepting new patients |
Locations
1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131
7800 Niles St
Bakersfield, CA 93306
Phone (661) 328-4284
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1861494338
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1205222544
-
- Community/Retail Pharmacy
- Lamont, CA
- NPI 1275161325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1245446814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82214",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933802214",
"telephone_number": "559-264-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5329 OFFICE CENTER CT STE 228",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933097419",
"telephone_number": "559-264-7967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NINOMIYA",
"first_name": "JOE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.A., M.F.C., C.R.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC24583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOE",
"last_name": "NINOMIYA",
"prefix": "MR.",
"credential": "M.A., L.M.F.T.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.