Active NPI
Panganiban Marriage and Family Therapy Inc.
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1376260471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Dirks Panganiban, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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.
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1154483816
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1629849070
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.