MR. JOHN JUSTIN FERNANDEZ
NPI 1639561871
Marriage & Family Therapist in San Jose, CA

Q: What is John Fernandez's NPI number?

The NPI number for John Fernandez is 1639561871. It was assigned to this individual provider in the NPPES registry on February 25, 2015.

Q: What is John Fernandez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for John Fernandez was last updated on December 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 25, 2015

232 E GISH RD, SAN JOSE, CA 95112(408) 355-0475 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2019, Nov 26, 2019, Mar 25, 2016 (3 updates tracked since 2016).

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About Mr. John Justin Fernandez NPPES

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

MR. JOHN JUSTIN FERNANDEZ (NPI 1639561871) is an individual marriage & family therapist in San Jose, California, licensed in California (90837) and active in the NPI registry since February 2015. He maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1639561871

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. JOHN JUSTIN FERNANDEZ

Location Address232 E GISH RDSan Jose, CA 95112-4706

Mailing Address232 E Gish RdSan Jose, CA 95112-4706 · (408) 355-0475 · Fax (408) 876-4250

Phone(408) 355-0475

Sole ProprietorYes

Enumeration DateFebruary 25, 2015

Last NPPES UpdateDecember 4, 20193 updates tracked since enumeration

✔ NPI 1639561871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 90837

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

232 E GISH RD, San Jose, CA 95112

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Secondary Practice Location 1

Location 11401 Parkmoor Ave Ste 230San Jose, CA 95126-3407 · Phone (510) 914-7992 · Fax (408) 971-9820

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MR. CARLOS VILLARREAL III

Case Management