Individual provider Active NPI

Kiran Virani

  • Marriage & Family Therapist
  • El Cajon, CA
National Provider Identifier
1245741602
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
132435 Issued in CA
Practice address
5442 Sycuan Rd
El Cajon, CA 92019-1816
Phone
(858) 899-3865
NPI assigned
Oct 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13023 TX
Marriage & Family Therapist 106H00000X 132435 CA Primary
Mental Health Counselor 101YM0800X 79324 MT
Addiction (Substance Use Disorder) Counselor 101YA0400X RA1420422 CA
Mental Health Counselor 101YM0800X 79973 TX

Addresses

Primary practice location

5442 Sycuan Rd
El Cajon, CA 92019-1816

Mailing address

1830 Liquid LN
Chula Vista, CA 91915-3300
Phone (714) 809-7450

Other practice location 1

1601 Precision Park Ln
San Ysidro, CA 92173-1345
Phone (619) 376-8392

Other practice location 2

1830 Liquid Ln
Chula Vista, CA 91915-3300
Phone (714) 809-7450

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RA1420422CAMDAddiction (Substance Use Disorder) Counselor
13023TXMDAddiction (Substance Use Disorder) Counselor
79324MTMDMental Health Counselor
79973TXMDMental Health Counselor
132435CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Serenity and Guidance Addiction (Substance Use Disorder) CurrentSince Mar 6, 2022 Accepting new patients
Medical Assure Management LLC Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1245741602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 LIQUID LN",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919153300",
            "telephone_number": "714-809-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5442 SYCUAN RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920191816",
            "telephone_number": "858-899-3865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Precision Park Ln",
            "address_purpose": "LOCATION",
            "city": "San Ysidro",
            "state": "CA",
            "postal_code": "921731345",
            "country_code": "US",
            "telephone_number": "619-376-8392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 Liquid Ln",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919153300",
            "country_code": "US",
            "telephone_number": "714-809-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRANI",
        "first_name": "KIRAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13023",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132435",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "79324",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RA1420422",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.