Angelica Lucia Cervantes Verduzco

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT154917 Issued in CA

Practice address

4630 Border Village Rd Ste N389
San Ysidro, CA 92173-3121

Phone

(619) 585-7686

NPI assigned

Jan 27, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Talami Health and Wellness IncGroup PAC ID 2062820079, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Talami Health & Wellness, Inc.

  • Urgent Care Clinic/Center
  • El Cajon, CA
  • NPI 1942895065
  Medicare reassignment Care Compare group NPD
• Community Research Foundation

  • Community/Behavioral Health Agency
  • Chula Vista, CA
  • NPI 1720271448
  NPD (past)

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1366989352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 BORDER VILLAGE RD STE N389",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 BORDER VILLAGE RD STE N389",
            "city": "SAN YSIDRO",
            "state": "CA",
            "postal_code": "921733121",
            "telephone_number": "619-585-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVANTES VERDUZCO",
        "first_name": "ANGELICA",
        "middle_name": "LUCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18257",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT154917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro de Salud de la Comunidad de San Ysidro, Inc.
• Centro de Salud de la Comunidad de San Ysidro, Inc.
• Centro de Salud de la Comunidad de San Ysidro, Inc.
• Centro de Salud de la Comunidad de San Ysidro, Inc.
• Centro de Salud de la Comunidad de San Ysidro, Inc.
• James E Cevallos, MD
• Elvia L Charles, PA
• Ami A Choi, PA
• Clenton Reyes Clarion, PA-C
• Skylar Clark, DPT

• Marriage & Family Therapist in San Ysidro, CA
• Providers in San Ysidro, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.