Individual provider Active NPI

Izabela Kinga Karmach, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1326215682
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 17148 Issued in CA
Practice address
3551 Front St
San Diego, CA 92103-4815
Phone
(619) 291-0198
Fax
(619) 294-3986
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2008

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 MFT 17148 CA Primary

Addresses

Primary practice location

3551 Front St
San Diego, CA 92103-4815

Mailing address

1111 W Olive St Apt C
San Diego, CA 92103-6076
Phone (619) 291-0198

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
MFT 17148CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1326215682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W OLIVE ST APT C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036076",
            "telephone_number": "619-291-0198",
            "fax_number": "619-294-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 FRONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034815",
            "telephone_number": "619-291-0198",
            "fax_number": "619-294-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARMACH",
        "first_name": "IZABELA",
        "middle_name": "KINGA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 17148",
            "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 May 14, 2008; 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.