Individual provider Active NPI

Jane T. Rikimaru, LMFT

  • Marriage & Family Therapist
  • Lakewood, CA
National Provider Identifier
1528116621
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39189 Issued in CA
Practice address
4010 Watson Plaza Dr
Suite 285
Lakewood, CA 90712-4037
Phone
(562) 497-1505
Fax
(562) 497-1881
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC39189 CA Primary

Addresses

Primary practice location

4010 Watson Plaza Dr
Suite 285
Lakewood, CA 90712-4037

Mailing address

26532 Elmcrest Way
Lake Forest, CA 92630-7521

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
MFC39189CAMDMarriage & Family Therapist

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": "1183852800000",
    "number": "1528116621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26532 ELMCREST WAY",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 WATSON PLAZA DR",
            "address_2": "SUITE 285",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124037",
            "telephone_number": "562-497-1505",
            "fax_number": "562-497-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIKIMARU",
        "first_name": "JANE",
        "middle_name": "T.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.