Active NPI
Rene Erazo Jr., LMFT
- Marriage & Family Therapist
- Fremont, CA
National Provider Identifier
1316318116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 139630
- Practice address
- 35284 Lancero St
Fremont, CA 94536-4544 - Phone
- (510) 468-4797
- NPI assigned
- Oct 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 114606 | CA | |
| Marriage & Family Therapist | 106H00000X | 139630 | CA | Primary |
Addresses
Primary practice location
35284 Lancero St
Fremont, CA 94536-4544
Mailing address
1750 S White Rd
San Jose, CA 95127-4760
Phone (510) 468-4797
Other practice location 1
8616 La Tijera Blvd
Los Angeles, CA 90045
Phone (310) 337-1550
Other practice location 2
1750 S White Rd
San Jose, CA 95127-4760
Phone (510) 468-4797
Other practice location 3
368 Fell St
San Francisco, CA 94102-5144
Phone (415) 861-0828
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
| License | State | Type | Specialty |
|---|---|---|---|
| 114606 | CA | MD | Mental Health Counselor |
| 139630 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1316318116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 S WHITE RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951274760",
"telephone_number": "510-468-4797",
"fax_number": "310-337-2805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35284 LANCERO ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945364544",
"telephone_number": "510-468-4797"
}
],
"practiceLocations": [
{
"address_1": "8616 La Tijera Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90045",
"country_code": "US",
"telephone_number": "310-337-1550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1750 S White Rd",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951274760",
"country_code": "US",
"telephone_number": "510-468-4797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "368 Fell St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941025144",
"country_code": "US",
"telephone_number": "415-861-0828",
"fax_number": "415-861-0140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERAZO",
"first_name": "RENE",
"name_suffix": "Jr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-19",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "114606",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "139630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.