Active NPI
Mariza Maldonado
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1538849781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 1925 Euclid Ave
San Diego, CA 92105-5361 - Phone
- (619) 648-1158
- NPI assigned
- Jul 21, 2023
- Last updated
- Sep 18, 2023
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
1925 Euclid Ave
San Diego, CA 92105-5361
Mailing address
1458 Gull CV Apt 103
San Diego, CA 92154-6463
Phone (619) 706-9800
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Restoration Counseling Center | Mental Health | Current | Accepting new patients |
Locations
1925 Euclid Ave
San Diego, CA 92105
Phone (619) 324-9810
Organizations & group practices 1
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": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1538849781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1458 GULL CV APT 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921546463",
"telephone_number": "619-706-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 EUCLID AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921055361",
"telephone_number": "619-648-1158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "MARIZA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.