Organization Active NPI

Alvarado Family Therapy

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1609577907
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ALVARADO FAMILY THERAPY
Practice address
4550 Kearny Villa Road #118
San Diego, CA 92123
Phone
(619) 928-4843
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Jeana Abadejos
Title
Owner
Phone
(619) 928-4843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

4550 Kearny Villa Road #118
San Diego, CA 92123

Mailing address

2127 Olympic Pkwy
Suite 1006 #353
Chula Vista, CA 91915

National Provider Directory

National Provider Directory

Locations

4550 Kearny Villa Rd
Ste 118
San Diego, CA 92123
Phone (619) 354-9278

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1609577907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 OLYMPIC PKWY",
            "address_2": "SUITE 1006 #353",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KEARNY VILLA ROAD #118",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-928-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVARADO FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "ABADEJOS",
        "authorized_official_first_name": "JEANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-928-4843"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Mar 14, 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.

Verify at the official NPI Registry.