Active NPI
Eduardo Calatayud IV, M.A.
- Marriage & Family Therapist
- Santa Clarita, CA
National Provider Identifier
1265872279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 99269
- Practice address
- 28700 Bouquet Canyon Rd
Santa Clarita, CA 91390-1220 - Phone
- (661) 965-4261
- NPI assigned
- Jul 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 99269 | CA | Primary |
Addresses
Primary practice location
28700 Bouquet Canyon Rd
Santa Clarita, CA 91390-1220
Mailing address
38728 Annette Ave
Palmdale, CA 93551-5409
Phone (661) 965-4261
Other practice location 1
44447 10th St W
Lancaster, CA 93534-3324
Phone (661) 726-2630 ext. 4133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265872279 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ecalatayud@dmh.lacounty.gov | Direct | Los Angeles County Department of Mental Health |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99269 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1265872279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38728 ANNETTE AVE",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935515409",
"telephone_number": "661-965-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28700 BOUQUET CANYON RD",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913901220",
"telephone_number": "661-965-4261"
}
],
"practiceLocations": [
{
"address_1": "44447 10th St W",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "935343324",
"country_code": "US",
"telephone_number": "661-726-2630 x4133",
"fax_number": "661-723-3211",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALATAYUD",
"first_name": "EDUARDO",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-05",
"last_updated": "2021-03-25",
"certification_date": "2021-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "99269",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265872279",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ecalatayud@dmh.lacounty.gov",
"affiliation": "Y",
"affiliationName": "Los Angeles County Department of Mental Health",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "28700 Bouquet Canyon Rd",
"city": "Santa Clarita",
"state": "CA",
"country_code": "US",
"postal_code": "913901220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.