Individual provider Active NPI

Victoria Montufar

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1497803837
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51937 Issued in CA
Practice address
575 E Locust Ave Ste 101
Fresno, CA 93720-2928
Phone
(559) 244-9696
Fax
(559) 225-5703
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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 51937 CA Primary

Addresses

Primary practice location

575 E Locust Ave Ste 101
Fresno, CA 93720-2928

Mailing address

4229 E Clinton Ave
Fresno, CA 93703-2612
Phone (559) 244-9696

Other practice location 1

4229 E Clinton Ave
Fresno, CA 93703-2612
Phone (559) 244-9696

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
51937CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
La Familia Therapy Services Inc. Marriage & Family Therapist CurrentSince Oct 1, 2023 Accepting new patients

Locations

575 E Locust Ave
Ste 101
Fresno, CA 93720
Phone (559) 314-2304

4229 E Clinton Ave
Fresno, CA 93703
Phone (559) 244-9696

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1497803837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 E CLINTON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937032612",
            "telephone_number": "559-244-9696",
            "fax_number": "559-225-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E LOCUST AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202928",
            "telephone_number": "559-244-9696",
            "fax_number": "559-225-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4229 E Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032612",
            "country_code": "US",
            "telephone_number": "559-244-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTUFAR",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.