Louis Joseph Facchino Jr., MDIV LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC6624 Issued in CA

Practice address

39 N San Mateo Dr
Suite 5
San Mateo, CA 94401

Phone

(650) 347-6833

Fax

(650) 866-4172

NPI assigned

Sep 26, 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 names 1

• Mr. Louis Facchino Professional name

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861593543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940300790",
            "telephone_number": "650-347-6833",
            "fax_number": "650-866-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N SAN MATEO DR",
            "address_2": "SUITE 5",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-347-6833",
            "fax_number": "650-866-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCHINO",
        "first_name": "LOUIS",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MDIV LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC6624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUIS",
            "last_name": "FACCHINO",
            "prefix": "MR.",
            "credential": "MDIV LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Asopaepae Angel Faatai
• Sarona T Faatai
• Betty Lou Fabiani
• Gladys Fabiano
• Rowena Castanar Fabro
• Yuliya Faccini, SUD
• Amalie Kawata Fackenthal
• Adam Peter Fagin, D.M.D., M.D.
• Richard Agnew Fagin, DDS
• Briana T Fair

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, 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 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.