Jesus Itzel Verduzco Moreno

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16850 Issued in CA

Practice address

1424 30TH St Ste a
San Diego, CA 92154-3417

Phone

(619) 565-2650

NPI assigned

Aug 14, 2018

Last updated

Oct 30, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Episcopal Community Services

  • Early Intervention Provider Agency
  • San Diego, CA
  • NPI 1669629390
  NPD
• Episcopal Community Services

  dba ECS Para Las Familias (PLF)

  • Early Intervention Provider Agency
  • San Diego, CA
  • NPI 1295852325
  NPD (past)

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1285114801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 30TH ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543417",
            "telephone_number": "619-565-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 30TH ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543417",
            "telephone_number": "619-565-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDUZCO MORENO",
        "first_name": "JESUS",
        "middle_name": "ITZEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "16850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Verdugo
• Maria Fernanda Verdugo
• Mariaelena S. Verdugo
• Wendy Thomas Verdugo
• Chantelle Verduzco Davis, OD
• Eric Jose Verduzco
• Francisca Lizbeth Verduzco, APCC
• Jorge Emilio Verduzco Jr., NONE
• Juan Carlos Verduzco
• Oscar Gabriel Verduzco, PT

• Professional Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.