Individual provider Active NPI

Rosa Andrea Cabral

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1528658929
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT123830 Issued in CA
Practice address
9400 Ruffin CT
San Diego, CA 92123-5300
Phone
(619) 694-8790
NPI assigned
Jan 20, 2021
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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 AMFT123830 CA Primary

Addresses

Primary practice location

9400 Ruffin CT
San Diego, CA 92123-5300

Mailing address

2116 Fenton Pkwy Apt 206
San Diego, CA 92108-4756
Phone (619) 629-9051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT123830CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Systems, Inc. CurrentSince Jan 7, 2024 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Grounded Roots Mental Health Therapy Marriage & Family Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

11440 W Bernardo Ct
Ste 157
San Diego, CA 92127

5555 Reservoir Dr
#204A
San Diego, CA 92120
Phone (619) 822-1800

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1528658929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 FENTON PKWY APT 206",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084756",
            "telephone_number": "619-629-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 RUFFIN CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921235300",
            "telephone_number": "619-694-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "ROSA",
        "middle_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT123830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.