Individual provider Active NPI

Carolina Gonzalez-Garcia, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1215321955
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 41111 Issued in CA
Practice address
3085 Beyer Blvd Ste A103
San Diego, CA 92154
Phone
(619) 591-8939
NPI assigned
Mar 19, 2015
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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 MFC 41111 CA Primary

Addresses

Primary practice location

3085 Beyer Blvd Ste A103
San Diego, CA 92154

Mailing address

PO Box 435232
San Diego, CA 92143-5232
Phone (619) 591-8939

Other practice location 1

3909 Centre St
San Diego, CA 92103-3410
Phone (619) 600-8672

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
I20240301003287 CA Practitioner - Marriage and Family Therapist 8820433667 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 41111CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Jun 14, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc CurrentSince Jan 16, 2024 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Jan 16, 2024 Accepting new patients

Locations

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585

1666 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 428-5533

3364 Beyer Blvd
Ste 102103
San Ysidro, CA 92173
Phone (619) 205-4585

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1426723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1215321955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435232",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921435232",
            "telephone_number": "619-591-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 BEYER BLVD STE A103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92154",
            "telephone_number": "619-591-8939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Centre St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921033410",
            "country_code": "US",
            "telephone_number": "619-600-8672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ-GARCIA",
        "first_name": "CAROLINA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-19",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.