Organization Active NPI

Panganiban Marriage and Family Therapy Inc.

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1376260471
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PANGANIBAN MARRIAGE AND FAMILY THERAPY INC.
Doing business as
PANGANIBAN THERAPY INC.
Practice address
16935 W Bernardo Dr Ste 122
San Diego, CA 92127-1623
Phone
(858) 868-5558
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Mrs. Kimberly Dirks Panganiban, LMFTNPI 1154483816
Title
Owner/President
Phone
(858) 361-6016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

16935 W Bernardo Dr Ste 122
San Diego, CA 92127-1623

Mailing address

13223 Black Mountain Rd # 346
San Diego, CA 92129-2698

Other names 1

  • PANGANIBAN THERAPY INC. Doing business as

National Provider Directory

National Provider Directory

Locations

16935 W Bernardo Dr
Ste 122
San Diego, CA 92127
Phone (480) 234-8363

13223 Black Mountain Rd
#346
San Diego, CA 92129

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1376260471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13223 BLACK MOUNTAIN RD # 346",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16935 W BERNARDO DR STE 122",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271623",
            "telephone_number": "858-868-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANGANIBAN MARRIAGE AND FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "PANGANIBAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DIRKS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "858-361-6016",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PANGANIBAN THERAPY INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 20, 2022; 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.