Abhimanyu Rupert Ardagh

Individual provider Active NPI Marriage & Family Therapist · Encinitas, CA

NPI 1437014701 · NPPES record last updated Dec 18, 2025

Key facts

NPI
1437014701
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
151933 (CA)
Practice address
1734 Gascony Rd
Encinitas, CA 92024-1225
Phone
(530) 263-4469
NPI assigned
Dec 18, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
151933CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 151933 CA Yes

Addresses

Primary practice location

1734 Gascony Rd
Encinitas, CA 92024-1225

Mailing address

1734 Gascony Rd
Encinitas, CA 92024-1225
Phone (530) 263-4469

Other providers in Encinitas, CA

All providers in Encinitas, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.