Individual provider Active NPI

Anna B Alcala, M.S., LMFT#84636

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1043478563
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT#84636 Issued in CA
Practice address
155 Granada St Ste I
Camarillo, CA 93010-7725
Phone
(805) 628-2204
NPI assigned
May 30, 2008
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 MFT#84636 CA Primary

Addresses

Primary practice location

155 Granada St Ste I
Camarillo, CA 93010-7725

Mailing address

155 Granada St Ste E
Camarillo, CA 93010-7725
Phone (805) 628-2204

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@annaalcala.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240521003624 CA Practitioner - Marriage and Family Therapist 9739521873 Reassigns benefits to 1 organization
Practice locations: Camarillo, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFT#84636CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Jul 2, 2024 Accepting new patients
County of Ventura CurrentSince Jul 2, 2024 Accepting new patients

Locations

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1043478563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GRANADA ST STE E",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107725",
            "telephone_number": "805-628-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GRANADA ST STE I",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107725",
            "telephone_number": "805-628-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCALA",
        "first_name": "ANNA",
        "middle_name": "B",
        "credential": "M.S., LMFT#84636",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2021-09-23",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT#84636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@annaalcala.com",
            "affiliation": "N",
            "address_1": "155 Granada St Ste E",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930107725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.