Active NPI
Chisato Fujimura Hotta, DSW, LMFT, LPCC
- Marriage & Family Therapist
- Fountain Valley, CA
National Provider Identifier
1699039743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98939
- Practice address
- 18350 Mount Langley St Ste 200
Fountain Valley, CA 92708-6912 - Phone
- (714) 450-4118
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 98939 | CA | Primary |
Addresses
Primary practice location
18350 Mount Langley St Ste 200
Fountain Valley, CA 92708-6912
Mailing address
18350 Mount Langley St Ste 200
Fountain Valley, CA 92708-6912
Phone (714) 450-4118
Other practice location 1
18350 Mount Langley St Ste 200
Fountain Valley, CA 92708-6912
Other practice location 2
850 E Wardlow Rd
Long Beach, CA 90807
Phone (562) 981-9392
Other names 1
- Miss Chisato Fujimura
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 |
|---|---|---|---|
| 98939 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindful Place Therapy Center | Professional | Current | Accepting new patients |
Organizations & group practices 1
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": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1699039743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18350 MOUNT LANGLEY ST STE 200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086912",
"telephone_number": "714-450-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18350 MOUNT LANGLEY ST STE 200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086912",
"telephone_number": "714-450-4118"
}
],
"practiceLocations": [
{
"address_1": "18350 Mount Langley St Ste 200",
"address_purpose": "LOCATION",
"city": "Fountain Valley",
"state": "CA",
"postal_code": "927086912",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 E Wardlow Rd",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "90807",
"country_code": "US",
"telephone_number": "562-981-9392",
"fax_number": "562-981-2622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOTTA",
"first_name": "CHISATO",
"middle_name": "FUJIMURA",
"name_prefix": "Dr.",
"credential": "DSW, LMFT, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "98939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHISATO",
"last_name": "FUJIMURA",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.