Active NPI
Steven Eduardo Granados
- Mental Health Counselor
- La Mesa, CA
National Provider Identifier
1538655220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3845 Avocado Road
La Mesa, CA 91941-7319 - Phone
- (619) 588-3653
- NPI assigned
- Jul 5, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3845 Avocado Road
La Mesa, CA 91941-7319
Mailing address
3845 Avocado School Rd
La Mesa, CA 91941-7319
Phone (619) 588-3653
Other practice location 1
5284 Adolfo Rd
Camarillo, CA 93012-6787
Phone (805) 289-0120
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1538655220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3845 AVOCADO SCHOOL RD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919417319",
"telephone_number": "619-588-3653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3845 AVOCADO ROAD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919417319",
"telephone_number": "619-588-3653"
}
],
"practiceLocations": [
{
"address_1": "5284 Adolfo Rd",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930126787",
"country_code": "US",
"telephone_number": "805-289-0120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRANADOS",
"first_name": "STEVEN",
"middle_name": "EDUARDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.