Individual provider Active NPI

Ana A Casillas-Calleros, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1295764918
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
39741 Issued in CA
Practice address
6475 Alvarado Rd
Suite 233
San Diego, CA 92120-5003
Phone
(858) 279-1223
Fax
(619) 229-2333
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 39741 CA Primary

Addresses

Primary practice location

6475 Alvarado Rd
Suite 233
San Diego, CA 92120-5003

Mailing address

6475 Alvarado Rd
Suite 233
San Diego, CA 92120-5003
Phone (858) 279-1223

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

LicenseStateTypeSpecialty
39741CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295764918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD",
            "address_2": "SUITE 233",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205003",
            "telephone_number": "858-279-1223",
            "fax_number": "619-229-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 ALVARADO RD",
            "address_2": "SUITE 233",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205003",
            "telephone_number": "858-279-1223",
            "fax_number": "619-229-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS-CALLEROS",
        "first_name": "ANA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39741",
            "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 8, 2007; 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.