Miguel Angel Juarez, M.A,

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

20005046536 Issued in CA

Practice address

1143 Missouri St
Fairfield, CA 94533-6007

Phone

(707) 435-9911

Fax

(707) 435-0704

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831266626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 19TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948013618",
            "telephone_number": "415-410-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 MISSOURI ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336007",
            "telephone_number": "707-435-9911",
            "fax_number": "707-435-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "credential": "M.A,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "20005046536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANT",
            "identifier": "20005046536",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Jow, DDS
• Amanda Joy
• JSN Healthcare Inc
• Rhogerika Juan
• Kimbra Juarez, M.A.
• Kiran Judge, NP
• Kristen Mary Judson, PT
• Israel Ramirez Jurado, RD
• Kristin Jusinski, R.N.
• Kaiser Foundation Health Plan Inc

• Addiction (Substance Use Disorder) Counselor in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• 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.

Verify at the official NPI Registry.