Carla Canedo Villa, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

144682 Issued in CA

Practice address

4660 Palm Ave BLDG a
San Diego, CA 92154-8404

Phone

(619) 662-5383

Fax

(619) 662-5375

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2024.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1538367255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210382",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919210382",
            "telephone_number": "619-838-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 PALM AVE BLDG A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921548404",
            "telephone_number": "619-662-5383",
            "fax_number": "619-662-5375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "964 Wind Cave Pl",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919143613",
            "country_code": "US",
            "telephone_number": "619-838-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANEDO VILLA",
        "first_name": "CARLA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "144682",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "144682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Guadalupe Candia
• Julie Ruth Candia, DNP, MS, NP-C
• Jennifer Marie Candiano
• Candid Counseling Marriage and Family Therapy Collective
• Lovely Maye Cane, FNP
• Alexis Deanna Canedo, NONE
• Andrea Canela
• Christine Helen Canelias
• Daniel Craig Canez, MFT
• Catherine Canfield, RN

• All providers in San Diego, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.