Individual provider Active NPI

Joe Ninomiya Jr., M.A., M.F.C., C.R.C.

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1245446814
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC24583 Issued in CA
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

Updated by the provider on Mar 9, 2020

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 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 Professional name

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
I20240210000684 CA Practitioner - Marriage and Family Therapist 6709231905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC24583CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista Current Accepting new patients
Clinica Sierra Vista CurrentSince Jan 1, 2024 Accepting new patients
Clinica Sierra Vista CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.