Active NPI
Shamsi Varshochi Eaton, MFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1275755274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC44204
- Practice address
- 4550 Kearny Villa Rd
Suite 214
San Diego, CA 92123-1578 - Phone
- (858) 381-7903
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC44204 | CA | Primary |
Addresses
Primary practice location
4550 Kearny Villa Rd
Suite 214
San Diego, CA 92123-1578
Mailing address
4550 Kearny Villa Rd
San Diego, CA 92123-1578
Phone (858) 381-7903
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC44204 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1275755274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 KEARNY VILLA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231578",
"telephone_number": "858-381-7903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 KEARNY VILLA RD",
"address_2": "SUITE 214",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231578",
"telephone_number": "858-381-7903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARSHOCHI EATON",
"first_name": "SHAMSI",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC44204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.