Active NPI
Roberto Weiss, MA MFT
- Marriage & Family Therapist
- Chula Vista, CA
National Provider Identifier
1487703476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC#36060
- Practice address
- 815 3Rd Ave
#319
Chula Vista, CA 91911 - Phone
- (619) 691-1880
- Fax
- (619) 691-5937
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | MFC#36060 | CA | Primary |
Addresses
Primary practice location
815 3Rd Ave
#319
Chula Vista, CA 91911
Mailing address
PO Box #122279
Chula Vista, CA 91912
Phone (619) 691-1880
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC#36060 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joel E. Mata, M.D. Inc. | Past | Accepting new patients | |
| Motiva Family Therapists and Behavioral Services Inc | Marriage & Family Therapist | Past | Accepting new patients |
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.
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1336845148
-
- Marriage & Family Therapist
- Chula Vista, CA
- NPI 1356555932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487703476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX #122279",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91912",
"telephone_number": "619-691-1880",
"fax_number": "619-691-5937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 3RD AVE",
"address_2": "#319",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91911",
"telephone_number": "619-691-1880",
"fax_number": "619-691-5937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "ROBERTO",
"name_prefix": "Mr.",
"credential": "MA MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC#36060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.