MEDICARE: JOHN SCOTT FISHER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFC35871	CA

General Provider Information

NPI Number	:	1134397433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN SCOTT FISHER LMFT

Provider Business Mailing Address
First Line	:	920 SARATOGA AVENUE
Second Line	:	SUITE 212
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3408
Country	:	US
Telephone Number	:	408-249-8047
Fax Number	:	408-249-9240

Provider Business Practice Location Address
First Line	:	920 SARATOGA AVENUE
Second Line	:	SUITE 212
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3408
Country	:	US
Telephone Number	:	408-249-8047
Fax Number	:	408-249-9240

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	01/11/2026

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