Active NPI
Viviana Trejo
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1932458726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT148327
- Practice address
- 6203 San Ignacio Ave Ste 150
San Jose, CA 95119-1371 - Phone
- (408) 284-9080
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- 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 | AMFT114745 | CA | |
| Rehabilitation Counselor | 225C00000X | |||
| Marriage & Family Therapist | 106H00000X | LMFT148327 | CA | Primary |
Addresses
Primary practice location
6203 San Ignacio Ave Ste 150
San Jose, CA 95119-1371
Mailing address
6203 San Ignacio Ave Ste 150
San Jose, CA 95119-1371
Phone (408) 284-9080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2271 Alpine Blvd
Suite a
Alpine, CA 91901-1100
2271 Alpine Blvd
Suite a
Alpine, CA 91901-1101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT114745 | CA | MD | Marriage & Family Therapist |
| LMFT148327 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fusion Care Group, a Psychological Professional Corporation | Current | Accepting new patients |
Locations
2271 Alpine Blvd
Ste A
Alpine, CA 91901
Phone (619) 289-7322
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.
-
- Clinical Psychologist
- Alpine, CA
- NPI 1275177982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1932458726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6203 SAN IGNACIO AVE STE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191371",
"telephone_number": "408-284-9080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6203 SAN IGNACIO AVE STE 150",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191371",
"telephone_number": "408-284-9080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREJO",
"first_name": "VIVIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT114745",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT148327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.