Individual provider Active NPI

Monica Elizarraraz

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1548517436
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
76590 Issued in CA
Practice address
3914 Murphy Canyon Rd
Suite A170
San Diego, CA 92123-4491
Phone
(858) 279-6721
Fax
(858) 279-5440
NPI assigned
Aug 9, 2012
Last updated
May 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 635 CA
Marriage & Family Therapist 106H00000X 76590 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

3914 Murphy Canyon Rd
Suite A170
San Diego, CA 92123-4491

Mailing address

3914 Murphy Canyon Rd
Suite A170
San Diego, CA 92123-4491
Phone (858) 279-6721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028002358 CA Practitioner - Marriage and Family Therapist 1456884527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serene Pathways Family Counseling IncGroup PAC ID 0749721389, 13 clinicians

Practice addresses (Care Compare)

11800 Central Ave
Suite 225
Chino, CA 91710-7201
Phone (909) 591-5085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76590CAMDClinical Social Worker
635CAMDPerinatal Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Pathways Family Counseling Inc Marriage & Family Therapist CurrentSince Oct 1, 2024 Accepting new patients
Personalized Treatment & Intervention Services CurrentSince Oct 1, 2024 Accepting new patients
Barbara Pizzarello LCSW Inc. PastSince Oct 7, 2012 Accepting new patients

Locations

11800 Central Ave
Ste 225
Chino, CA 91710
Phone (909) 576-3889

201 Spear St
Ste 1100
San Francisco, CA 94105
Phone (415) 651-4333

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1548517436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 MURPHY CANYON RD",
            "address_2": "SUITE A170",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234491",
            "telephone_number": "858-279-6721",
            "fax_number": "858-279-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 MURPHY CANYON RD",
            "address_2": "SUITE A170",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234491",
            "telephone_number": "858-279-6721",
            "fax_number": "858-279-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZARRARAZ",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "635",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "76590",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.