Active NPI
Daniel Alfred Juarez Jr.
- Marriage & Family Therapist
- Rialto, CA
National Provider Identifier
1659145191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 140697
- Practice address
- 1850 N Riverside Ave Ste 180
Rialto, CA 92376-8071 - Phone
- (909) 681-0805
- NPI assigned
- Nov 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 15075 | CA | |
| Marriage & Family Therapist | 106H00000X | 140697 | CA | Primary |
Addresses
Primary practice location
1850 N Riverside Ave Ste 180
Rialto, CA 92376-8071
Mailing address
8780 19TH St # 508
Alta Loma, CA 91701-4608
Phone (909) 554-4107
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
| License | State | Type | Specialty |
|---|---|---|---|
| 140697 | CA | MD | Marriage & Family Therapist |
| 15075 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1659145191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8780 19TH ST # 508",
"city": "ALTA LOMA",
"state": "CA",
"postal_code": "917014608",
"telephone_number": "909-554-4107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 N RIVERSIDE AVE STE 180",
"city": "RIALTO",
"state": "CA",
"postal_code": "923768071",
"telephone_number": "909-681-0805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUAREZ",
"first_name": "DANIEL",
"middle_name": "ALFRED",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-11-14",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "15075",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "140697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rialto, CA
- Jorge a. Flores DDS, Inc.
- Joseph L Vanderlinden MD Inc
- Joseph M Molina MD Professional Corporation Southern California (Molina Rialto)
- Joseph M Molina MD Professional Corporation-Southern California
- Angelica Juarez
- Kaelith Pathology Group LLC
- Hanvin Kang, DDS
- Jin Ki Kang, DDS
- Xavier Ian Karikitan, MSN, RN
- Anas Kawayeh, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.