Individual provider Active NPI

Abel Perez Pena

  • Marriage & Family Therapist
  • El Cajon, CA
National Provider Identifier
1285762831
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 47298 Issued in CA
Practice address
1000 Broadway
Suite 210
El Cajon, CA 92021-4899
Phone
(619) 401-5500
Fax
(619) 401-5454
NPI assigned
Mar 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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 MFC 47298 CA Primary

Addresses

Primary practice location

1000 Broadway
Suite 210
El Cajon, CA 92021-4899

Mailing address

1000 Broadway
Suite 210
El Cajon, CA 92021-4899
Phone (619) 401-5500

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
I20260220000688 CA Practitioner - Marriage and Family Therapist 2466933239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23091 Cannery Rd
Wildomar, CA 92595-7957

2730 Wrangler Cir
Corona, CA 92882-6809

5820 Oberlin Dr
Suite 112
San Diego, CA 92121-3742

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 47298CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Through Life Counseling, Inc. Marriage & Family Therapist CurrentSince Feb 2, 2025 Accepting new patients

Locations

41680 Ivy St
Ste D
Murrieta, CA 92562
Phone 6195490329 ext. 724

5820 Oberlin Dr
Ste 112
San Diego, CA 92121
Phone 61954903294

1 Ridgegate Dr
Ste 200
Temecula, CA 92590
Phone (951) 466-3196

Organizations & group practices 1

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1285762831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY",
            "address_2": "SUITE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214899",
            "telephone_number": "619-401-5500",
            "fax_number": "619-401-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY",
            "address_2": "SUITE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214899",
            "telephone_number": "619-401-5500",
            "fax_number": "619-401-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ABEL",
        "middle_name": "PEREZ",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 47298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.