Caitlin Haru Iwafuchi, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

128726 Issued in CA

Practice address

1499 Huntington Dr Ste 328
South Pasadena, CA 91030-5478

Phone

(323) 345-1402

NPI assigned

Apr 17, 2019

Last updated

Mar 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677974400000",
    "number": "1720641400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 HUNTINGTON DR STE 328",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305478",
            "telephone_number": "323-345-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 HUNTINGTON DR STE 328",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910305478",
            "telephone_number": "323-345-1402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19140 Edwin Markham Dr",
            "address_purpose": "LOCATION",
            "city": "Castro Valley",
            "state": "CA",
            "postal_code": "945525054",
            "country_code": "US",
            "telephone_number": "510-590-7083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 Ala Nanala St Apt 19C",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968182962",
            "country_code": "US",
            "telephone_number": "510-590-7083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IWAFUCHI",
        "first_name": "CAITLIN",
        "middle_name": "HARU",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-03-05",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "791",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; 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.