Individual provider Active NPI

Kendal Joseph Moses, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1245989227
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
131724 Issued in CA
Practice address
1665 9TH Ave Apt 4
San Diego, CA 92101-2847
Phone
(619) 756-4928
NPI assigned
Mar 18, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 131724 CA Primary

Addresses

Primary practice location

1665 9TH Ave Apt 4
San Diego, CA 92101-2847

Mailing address

3960 W Point Loma Blvd Ste H
San Diego, CA 92110-5643

Other practice location 1

2136 El Cajon Blvd
San Diego, CA 92104-1102
Phone (619) 906-5319

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
I20250620002357 CA Practitioner - Marriage and Family Therapist 5597277079 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego, Inc. CurrentSince Jun 23, 2025 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jun 23, 2025 Accepting new patients

Locations

2136 El Cajon Blvd
San Diego, CA 92104
Phone (619) 515-2588

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1245989227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 W POINT LOMA BLVD STE H",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 9TH AVE APT 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012847",
            "telephone_number": "619-756-4928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2136 El Cajon Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921041102",
            "country_code": "US",
            "telephone_number": "619-906-5319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "KENDAL",
        "middle_name": "JOSEPH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.