Active NPI
Eric Quintero Nunez, LMFT
- Marriage & Family Therapist
- Agoura Hills, CA
National Provider Identifier
1790038149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 140453
- Practice address
- 5012 Chesebro Rd Ste 200
Agoura Hills, CA 91301-2287 - Phone
- (925) 282-1778
- NPI assigned
- Oct 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 122394 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | 140453 | CA | Primary |
Addresses
Primary practice location
5012 Chesebro Rd Ste 200
Agoura Hills, CA 91301-2287
Mailing address
5012 Chesebro Rd Ste 200
Agoura Hills, CA 91301-2287
Phone (925) 282-1778
Other practice location 1
921 W Avenue J Ste C
Lancaster, CA 93534-3443
Phone (213) 479-1695
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 |
|---|---|---|---|
| 122394 | CA | MD | Marriage & Family Therapist |
| 140453 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Kids Organization | Current | Accepting new patients |
Locations
921 W Avenue J
Ste C
Lancaster, CA 93534
Phone (661) 949-0131
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.
-
- Community/Behavioral Health Agency
- Lancaster, CA
- NPI 1548396161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1790038149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 CHESEBRO RD STE 200",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913012287",
"telephone_number": "925-282-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5012 CHESEBRO RD STE 200",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913012287",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "921 W Avenue J Ste C",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "935343443",
"country_code": "US",
"telephone_number": "213-479-1695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUNEZ",
"first_name": "ERIC",
"middle_name": "QUINTERO",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-23",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122394",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "140453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.