Rebeca Pacheco Corvera, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

14F45435 Issued in CA

Practice address

4711 Vista St
San Diego, CA 92116-2529

Phone

(619) 253-0177

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rebeca Pacheco Herroz Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • San Diego, CA
  • NPI 1225060742
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1245376201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 VISTA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162529",
            "telephone_number": "619-253-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 VISTA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162529",
            "telephone_number": "619-253-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO CORVERA",
        "first_name": "REBECA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "14F45435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECA",
            "last_name": "PACHECO HERROZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jordan Leaires Pace, MD
• Lea Marie Pace, PA
• Rachelle Pace, DNP
• Salvatore John Pacella III, M.D., M.B.A.
• Jillian Pacer
• Rebecca Pacheco-Spitz
• Adrianna Marie Pacheco
• Alexa Andrea Pacheco
• Ashley Pacheco
• Fernanda Pacheco, MD

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.

Verify at the official NPI Registry.