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JAMES LLOYD FANDIALAN M.A., LPCC 7084
NPI 1396289716
Counselor - Mental Health in San Jose, CA

Active since December 05, 2016PECOS EnrolledAccepts Medicare Assignment
2150 N 1ST ST STE 650, SAN JOSE, CA 95131(408) 964-7300 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2022, Dec 30, 2021 (2 updates tracked since 2021).

About James Lloyd Fandialan M.a., Lpcc 7084 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES LLOYD FANDIALAN M.A., LPCC 7084 (NPI 1396289716) is an individual mental health provider in San Jose, California, licensed in California (7084) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Anaheim, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1396289716
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAMES LLOYD FANDIALANCredential: M.A., LPCC 7084
Location Address2150 N 1ST ST STE 650San Jose, CA 95131-2031
Mailing Address501 N Brookhurst St, Suite 320Anaheim, CA 92801-5226 · (714) 490-7711
Phone(408) 964-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 5, 2016
Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1396289716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CA · 7084✔ Licensed in CA · PCI 3068
2150 N 1ST ST STE 650, San Jose, CA 95131
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Secondary Practice Location 1

Location 1501 N Brookhurst St, Suite 320Anaheim, CA 92801-5226 · Phone (714) 490-7711

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Lloyd Fandialan M.a., Lpcc 7084 is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830535608
PECOS Enrollment IDI20240314003680
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL JAMES REED PSY.D.
Psychologist (Clinical)
2150 N 1ST ST STE 650
SAN JOSE, CA 95131
Santa Clara County (408) 964-7222
JENNIFER GARMA ATIENZA MD
Psychiatry & Neurology (Psychiatry)
2150 N 1ST ST STE 650
SAN JOSE, CA 95131
Santa Clara County (408) 964-7300
KAITLIN MIKA MASATSUGU LCSW
Social Worker (Clinical)
2150 N 1ST ST STE 650
SAN JOSE, CA 95131
Santa Clara County (408) 436-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Fandialan's NPI number?

The NPI number for James Fandialan is 1396289716. It was assigned to this individual provider in the NPPES registry on December 5, 2016.

Where is James Fandialan located?

James Fandialan practices at 2150 N 1st St Ste 650, San Jose, CA 95131. The listed phone number is (408) 964-7300.

What is James Fandialan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is James Fandialan enrolled in Medicare?

Yes. James Fandialan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for James Fandialan was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.