Individual provider Active NPI

Isuzu Fujita Hopper, MFT

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1376560318
Registry record updated Nov 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT18371 Issued in CA
Practice address
24353 Sunnymead Blvd Ste B
Moreno Valley, CA 92553-7772
Phone
(951) 242-6039
Fax
(951) 247-4593
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 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 MFT18371 CA Primary

Addresses

Primary practice location

24353 Sunnymead Blvd Ste B
Moreno Valley, CA 92553-7772

Mailing address

PO Box 7629
Moreno Valley, CA 92552-7629
Phone (951) 242-6039

Other practice location 1

23470 Olive Wood Plaza Dr., #110
Moreno Valley, CA 92553-5220
Phone (951) 242-6039

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
MFT18371CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Counseling Center Marriage & Family Therapist Past Accepting new patients

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1376560318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7629",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925527629",
            "telephone_number": "951-242-6039",
            "fax_number": "951-247-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24353 SUNNYMEAD BLVD STE B",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925537772",
            "telephone_number": "951-242-6039",
            "fax_number": "951-247-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23470 Olive Wood Plaza Dr., #110",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925535220",
            "country_code": "US",
            "telephone_number": "951-242-6039",
            "fax_number": "951-247-4593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "ISUZU",
        "middle_name": "FUJITA",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT18371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; 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.