MR. TONY JAKE DELATORRE LMFT
NPI 1629288683
Marriage & Family Therapist in Fresno, CA
About Mr. Tony Jake Delatorre Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TONY JAKE DELATORRE LMFT (NPI 1629288683) is an individual marriage & family therapist in Fresno, California, licensed in California (IMF 52241) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Tony Jake Delatorre Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tony Delatorre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRESNO, CA 93726
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 Tony Delatorre's NPI number?
The NPI number for Tony Delatorre is 1629288683. It was assigned to this individual provider in the NPPES registry on May 22, 2007.
Where is Tony Delatorre located?
Tony Delatorre practices at 4785 N 1st St, Fresno, CA 93726. The listed phone number is (559) 448-4620.
What is Tony Delatorre's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Tony Delatorre enrolled in Medicare?
Yes. Tony Delatorre is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tony Delatorre's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tony Delatorre reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tony Delatorre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tony Delatorre was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Tony Jake Delatorre, LMFT · NPI 1629288683
Marriage & Family Therapist provider in Fresno, California. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1629288683 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** IMF 52241 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4785 N 1ST ST, Fresno, CA 93726-0500
- **Phone:** (559) 448-4620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629288683) · Data from the CMS NPPES public registry.