Individual provider Active NPI

Cynthia Caldeira, MFTI

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1609198415
Registry record updated Feb 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
54019 Issued in CA
Practice address
11555 Los Osos Valley Rd
206
San Luis Obispo, CA 93405-6472
Phone
(805) 459-7168
Fax
(805) 545-9909
NPI assigned
Feb 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2010

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 54019 CA Primary

Addresses

Primary practice location

11555 Los Osos Valley Rd
206
San Luis Obispo, CA 93405-6472

Mailing address

11555 Los Osos Valley Rd
206
San Luis Obispo, CA 93405-6472
Phone (805) 459-7168

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": "1266624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266624000000",
    "number": "1609198415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11555 LOS OSOS VALLEY RD",
            "address_2": "206",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056472",
            "telephone_number": "805-459-7168",
            "fax_number": "805-545-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 LOS OSOS VALLEY RD",
            "address_2": "206",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934056472",
            "telephone_number": "805-459-7168",
            "fax_number": "805-545-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDEIRA",
        "first_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-20",
        "last_updated": "2010-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "54019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2010; 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.