Individual provider Active NPI

Molly Roha-Fuentes, MFT

  • Marriage & Family Therapist
  • Apple Valley, CA
National Provider Identifier
1750647947
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51346 Issued in CA
Practice address
17800 US Highway 18
Apple Valley, CA 92307
Phone
(760) 306-3446
NPI assigned
Apr 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 51346 CA Primary

Addresses

Primary practice location

17800 US Highway 18
Apple Valley, CA 92307

Mailing address

1007 N McKeever Ave
Azusa, CA 91702-1918
Phone (626) 627-0354

Other practice location 1

1007 N McKeever Ave
Azusa, CA 91702-1918
Phone (626) 627-0354

Other practice location 2

9333 Fairway View Pl Ste 101
Rancho Cucamonga, CA 91730-0963
Phone (760) 306-3446

Other practice location 3

8291 Utica Ave Ste 103
Rancho Cucamonga, CA 91730-3800
Phone (760) 306-3446

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

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1750647947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 N MCKEEVER AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917021918",
            "telephone_number": "626-627-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 US HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-306-3446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1007 N McKeever Ave",
            "address_purpose": "LOCATION",
            "city": "Azusa",
            "state": "CA",
            "postal_code": "917021918",
            "country_code": "US",
            "telephone_number": "626-627-0354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9333 Fairway View Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917300963",
            "country_code": "US",
            "telephone_number": "760-306-3446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8291 Utica Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303800",
            "country_code": "US",
            "telephone_number": "760-306-3446",
            "fax_number": "626-334-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROHA-FUENTES",
        "first_name": "MOLLY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-02",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.