Active NPI
Carolina Gonzalez-Garcia, MFT
- Marriage & Family Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 41111
- Practice address
- 3085 Beyer Blvd Ste A103
San Diego, CA 92154 - Phone
- (619) 591-8939
- NPI assigned
- Mar 19, 2015
- Last updated
- Jun 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 41111 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Grow Healthcare Group PC | Marriage & Family Therapist | Current | Accepting new patients |
| Centro de Salud de la Comunidad de San Ysidro, Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | 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.
-
dba San Ysidro Health Precision Park
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
- Mental Health Counselor
- San Jose, CA
- NPI 1154994846
Marriage & Family Therapist
-
dba San Ysidro Health Senior Dental Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
dba San Ysidro Health South Bay Pediatrics
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1184135873
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
- Suanly Gonzalez Gonzalez Vergel
- Gonzalez Zimmerman Capital Solutions Inc (Homewatch Caregivers Northwest San Diego)
- Cynthia Oriana Gonzalez-Comparan
- Denicio Gonzalez-Drake, DC
- Lorena Gonzalez-Fabiny
- Jose E Gonzalez-Ramos
- Estefani Maria Gonzalez-Summers
- Adriana Cruz Gonzalez, LCSW
- Adrianna Selena Gonzalez, IDC
- Alan Remington Gonzalez, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.