Active NPI
Ana Lucia Fontoura, MFT
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1659434827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 35245
- Practice address
- 4020 Moorpark Ave
Apt . 108
San Jose, CA 95117-4102 - Phone
- (408) 366-4212
- Fax
- (408) 366-4201
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 35245 | CA | Primary |
Addresses
Primary practice location
4020 Moorpark Ave
Apt . 108
San Jose, CA 95117-4102
Mailing address
4020 Moorpark Ave
Apt . 108
San Jose, CA 95117-4102
Phone (408) 366-4212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35245 | Other | CA | LMFT |
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 |
|---|---|---|---|
| 35245 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659434827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 MOORPARK AVE",
"address_2": "APT . 108",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951174102",
"telephone_number": "408-366-4212",
"fax_number": "408-366-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 MOORPARK AVE",
"address_2": "APT . 108",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951174102",
"telephone_number": "408-366-4212",
"fax_number": "408-366-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONTOURA",
"first_name": "ANA",
"middle_name": "LUCIA",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "35245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "35245",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, 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.