Active NPI
Brian Alexander Hatfield
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1477255727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT126313
- Practice address
- 12636 High Bluff Dr Ste 400
San Diego, CA 92130-2071 - Phone
- (619) 494-0843
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT126313 | CA | Primary |
Addresses
Primary practice location
12636 High Bluff Dr Ste 400
San Diego, CA 92130-2071
Mailing address
3710 Via del Rancho
Oceanside, CA 92056-7202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT126313 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1477255727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 VIA DEL RANCHO",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920567202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12636 HIGH BLUFF DR STE 400",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302071",
"telephone_number": "619-494-0843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATFIELD",
"first_name": "BRIAN",
"middle_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT126313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Patricia L Hatch, LCSW
- Kayla Jean Hatchel
- Daryl Alexus Porcheanna Hatchett
- Dustin Hatefi, M.D., M.P.H.
- Hatem Abou-Sayed MD Mba Facs - a Professional Medical Corporation (Tim Sayed MD, P.C.)
- Caleb John Hatfield, B.A.
- Chad Jeffrey Hatfield, PHARMD
- Hallyn Nicole Hatfield
- Jordyn Lynn Hatfield
- Shelley Hatfield
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.