Individual provider Active NPI

Magdalena Beneitez, M.A. MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1013182609
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC45382 Issued in CA
Practice address
317 Laurel St
San Diego, CA 92101-1630
Phone
(858) 349-0604
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC45382 CA Primary

Addresses

Primary practice location

317 Laurel St
San Diego, CA 92101-1630

Mailing address

5520 Caminito Exquisito
San Diego, CA 92130-2822
Phone (858) 349-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC45382CAMDMarriage & Family Therapist
45382CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1013182609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 CAMINITO EXQUISITO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302822",
            "telephone_number": "858-349-0604",
            "fax_number": "858-509-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011630",
            "telephone_number": "858-349-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEITEZ",
        "first_name": "MAGDALENA",
        "credential": "M.A. MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.