Individual provider Active NPI

Ryan Thomas Juarez, M.S.

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1326594649
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101750 Issued in CA
Practice address
2821 H St
Bakersfield, CA 93301-1913
Phone
(661) 546-6365
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 101750 CA Primary
Case Manager/Care Coordinator 171M00000X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2821 H St
Bakersfield, CA 93301-1913

Mailing address

8206 Rockhampton Dr
Bakersfield, CA 93313-5408
Phone (661) 243-6212

Other practice location 1

5405 Stockdale Hwy Ste 111
Bakersfield, CA 93309-2500
Phone (661) 529-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2024 through Jan 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
101750CAMDGeneral Practice Dentistry
130819CAMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Juarez, a Marriage and Family Therapy Corporation Current Accepting new patients

Locations

1400 S Union Ave
Ste 110
Bakersfield, CA 93307
Phone (661) 243-6212

Organizations & group practices 1

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1326594649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8206 ROCKHAMPTON DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933135408",
            "telephone_number": "661-243-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011913",
            "telephone_number": "661-546-6365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 Stockdale Hwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933092500",
            "country_code": "US",
            "telephone_number": "661-529-0117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101750",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.