Individual provider Active NPI

Daniel James Perez, LMFT

  • Marriage & Family Therapist
  • Antioch, CA
National Provider Identifier
1649787953
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC130897 Issued in CA
Practice address
3700 Delta Fair Blvd Ste 210
Antioch, CA 94509-4074
Phone
(925) 303-6058
Fax
(925) 481-2733
NPI assigned
Jan 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 101370 CA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC130897 CA Primary

Addresses

Primary practice location

3700 Delta Fair Blvd Ste 210
Antioch, CA 94509-4074

Mailing address

3700 Delta Fair Blvd Ste 210
Antioch, CA 94509-4074
Phone (925) 303-6058

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
MFC130897CAMDMarriage & Family Therapist
101370CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Springs Psychotherapy and Consulting, a Professional Corporat Marriage & Family Therapist CurrentSince Feb 6, 2022 Accepting new patients
Emq Families First Past Accepting new patients
Octave Behavioral Health PC Past Accepting new patients

Locations

3700 Delta Fair Blvd
Ste 210
Antioch, CA 94509
Phone (925) 301-0143

Organizations & group practices 3

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": "1515369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1649787953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 DELTA FAIR BLVD STE 210",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094074",
            "telephone_number": "925-303-6058",
            "fax_number": "925-481-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 DELTA FAIR BLVD STE 210",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094074",
            "telephone_number": "925-303-6058",
            "fax_number": "925-481-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "DANIEL",
        "middle_name": "JAMES",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-08",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101370",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC130897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.