Individual provider Active NPI

Maria Gallegos Skomal, MFT

  • Marriage & Family Therapist
  • Chula Vista, CA
National Provider Identifier
1235294992
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 43149 Issued in CA
Practice address
815 3Rd Ave
Suite 214
Chula Vista, CA 91911-1307
Phone
(619) 691-1880
Fax
(619) 691-5937
NPI assigned
Dec 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 43149 CA Primary

Addresses

Primary practice location

815 3Rd Ave
Suite 214
Chula Vista, CA 91911-1307

Mailing address

3344 Kennelworth LN
Bonita, CA 91902-1508
Phone (619) 472-3918

Other names 1

  • Maria Del Refugio Skomal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT 43149CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235294992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3344 KENNELWORTH LN",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021508",
            "telephone_number": "619-472-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 3RD AVE",
            "address_2": "SUITE 214",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919111307",
            "telephone_number": "619-691-1880",
            "fax_number": "619-691-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS SKOMAL",
        "first_name": "MARIA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 43149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "SKOMAL",
            "middle_name": "DEL REFUGIO",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.