Yenyfer Pahua Bullock, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT86390 Issued in CA

Practice address

300 S C St
Tustin, CA 92780-3633

Phone

(714) 865-9772

NPI assigned

Jul 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1356758031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S C ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803633",
            "telephone_number": "714-865-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S C ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803633",
            "telephone_number": "714-865-9772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "572 N Arrowhead Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011212",
            "country_code": "US",
            "telephone_number": "909-266-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S C St",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927804304",
            "country_code": "US",
            "telephone_number": "657-218-6246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "YENYFER",
        "middle_name": "PAHUA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT86390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Villanueva Buenaventura
• Khuong Anh Bui, DR
• Kim-Anh Bui, PHARM D
• Vinh The Bui, PHARMD
• Robin Denise Bullette, PSY.D.
• Annaliza Balitao Bumacod
• John Bosco Saldana Bunyi, AMFT
• Allie Burg
• Christine Switzer Burnell, M.A.
• Shannon Arlon Burns, D.C.

• Marriage & Family Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.