Individual provider Active NPI

Eugene A Alliende, MFT

  • Marriage & Family Therapist
  • Jackson, CA
National Provider Identifier
1528064839
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 41429 Issued in CA
Practice address
12140 New York Ranch Road
Jackson Rancheria Health Complex
Jackson, CA 95642-9344
Phone
(209) 257-2430
Fax
(209) 257-2434
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 MFC 41429 CA Primary

Addresses

Primary practice location

12140 New York Ranch Road
Jackson Rancheria Health Complex
Jackson, CA 95642-9344

Mailing address

12140 New York Ranch Road
Jackson Rancheria Health Complex
Jackson, CA 95642-9344
Phone (209) 257-2430

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
MFC 41429CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528064839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12140 NEW YORK RANCH ROAD",
            "address_2": "JACKSON RANCHERIA HEALTH COMPLEX",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429344",
            "telephone_number": "209-257-2430",
            "fax_number": "209-257-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12140 NEW YORK RANCH ROAD",
            "address_2": "JACKSON RANCHERIA HEALTH COMPLEX",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429344",
            "telephone_number": "209-257-2430",
            "fax_number": "209-257-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLIENDE",
        "first_name": "EUGENE",
        "middle_name": "A",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.