Victor Messina Acedo, CADCII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

01-042565 Issued in CA

Practice address

10159 Mission Gorge Rd
Santee, CA 92071-3857

Phone

(760) 227-1380

Fax

(619) 588-6282

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1104944586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 RUFFIN RD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231853",
            "telephone_number": "858-300-0460",
            "fax_number": "858-300-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10159 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713857",
            "telephone_number": "760-227-1380",
            "fax_number": "619-588-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEDO",
        "first_name": "VICTOR",
        "middle_name": "MESSINA",
        "name_prefix": "Mr.",
        "credential": "CADCII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "01-042565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Santee, CA
• Providers in Santee, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.