Individual provider Active NPI

Joshua Marroquin

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1366942690
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT124132 Issued in CA
Practice address
1885 Lundy Ave Ste 223
San Jose, CA 95131-1888
Phone
(408) 284-9000
NPI assigned
Feb 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X
Behavior Technician 106S00000X
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X AMFT124132 CA Primary

Addresses

Primary practice location

1885 Lundy Ave Ste 223
San Jose, CA 95131-1888

Mailing address

1885 Lundy Ave Ste 223
San Jose, CA 95131-1888
Phone (408) 284-9000

Other practice location 1

2630 W Rumble Rd
Modesto, CA 95350-0155
Phone (209) 579-9444

Other practice location 2

2630 W Rumble Rd
Modesto, CA 95350-0155
Phone (209) 579-9444

Other practice location 3

251 Llewellyn Ave
Campbell, CA 95008-1940
Phone (408) 379-3790

Other practice location 4

1700 McHenry Village Way Ste 14
Modesto, CA 95350
Phone (209) 550-5869 ext. 422

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

LicenseStateTypeSpecialty
AMFT124132CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1366942690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 LUNDY AVE STE 223",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311888",
            "telephone_number": "408-284-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 LUNDY AVE STE 223",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311888",
            "telephone_number": "408-284-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 W Rumble Rd",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953500155",
            "country_code": "US",
            "telephone_number": "209-579-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2630 W Rumble Rd",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953500155",
            "country_code": "US",
            "telephone_number": "209-579-9444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Llewellyn Ave",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950081940",
            "country_code": "US",
            "telephone_number": "408-379-3790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 McHenry Village Way Ste 14",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95350",
            "country_code": "US",
            "telephone_number": "209-550-5869 x422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARROQUIN",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-13",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT124132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.