David Moates, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

50189 Issued in CA

Practice address

1255 Kendall Rd
San Luis Obispo, CA 93401

Phone

(805) 781-3535

NPI assigned

May 9, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Genesis Family Center

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1902067051
  NPD (past)
• Promesa Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1154816411
  NPD (past)
• Promesa Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1245725506
  NPD (past)
• Promesa Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1417280728
  NPD (past)
• Promesa Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1528391422
  NPD (past)
• Promesa Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Madera, CA
  • NPI 1568957967
  NPD (past)
• Promesa Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1871088138
  NPD (past)
• Promesa Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1902130487
  NPD (past)
• Promesa Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Fresno, CA
  • NPI 1962997221
  NPD (past)

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1932765484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 N MARKS AVE STE 110",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937110268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 KENDALL RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-781-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4291 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937263438",
            "country_code": "US",
            "telephone_number": "559-224-7967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10120 Lanes Bridge Dr",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936368890",
            "country_code": "US",
            "telephone_number": "559-431-5532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 E Minarets Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203010",
            "country_code": "US",
            "telephone_number": "559-447-1114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1853 E Niles Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202342",
            "country_code": "US",
            "telephone_number": "559-325-3892",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1942 E Niles Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202344",
            "country_code": "US",
            "telephone_number": "559-323-4957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 W Barstow Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113018",
            "country_code": "US",
            "telephone_number": "559-438-9344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 E Spruce Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203016",
            "country_code": "US",
            "telephone_number": "559-431-5073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1027 N Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937283429",
            "country_code": "US",
            "telephone_number": "559-268-7613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOATES",
        "first_name": "DAVID",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Mitchel, LCSW
• Crystal Olivia Mitchell
• Kathryn M Mitchell
• Wayne Howard Mitchell, NOT NECESSARY
• Hannah Mixson
• Steven Moberg
• Jacqueline Mobley, CADCII
• Jessica Lynn Mock
• Modesto Radiological Medical Group, Inc
• Tania Lynn Moeller

• Marriage & Family Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, 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 Feb 16, 2022; 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.