Individual provider Active NPI

Maria Cecilia Irigaray

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1407388457
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
139402 Issued in CA
Practice address
5555 Reservoir Dr Ste 309
San Diego, CA 92120-5193
Phone
(619) 393-5333
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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 139402 CA Primary

Addresses

Primary practice location

5555 Reservoir Dr Ste 309
San Diego, CA 92120-5193

Mailing address

PO Box 22292
San Diego, CA 92192-2292

Other practice location 1

625 Citracado Pkwy Ste 102
Escondido, CA 92025-6428
Phone (760) 294-9270 ext. 7418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260320004039 CA Practitioner - Marriage and Family Therapist 8921582511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sokyahealth Medical Group PCGroup PAC ID 8628463015, 180 clinicians

Practice addresses (Care Compare)

5060 Shoreham PL
Suite 330
San Diego, CA 92122-5976
Phone (858) 427-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
139402CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Headlight Health Medical Group PLLC CurrentSince Mar 14, 2026 Accepting new patients
Sokyahealth Medical Group PC Marriage & Family Therapist CurrentSince Mar 1, 2026 Accepting new patients

Locations

5060 Shoreham Pl
Ste 230
San Diego, CA 92122

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1407388457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22292",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921922292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 309",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205193",
            "telephone_number": "619-393-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Citracado Pkwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Escondido",
            "state": "CA",
            "postal_code": "920256428",
            "country_code": "US",
            "telephone_number": "760-294-9270 x7418",
            "fax_number": "760-294-9268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRIGARAY",
        "first_name": "MARIA",
        "middle_name": "CECILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "139402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.