Individual provider Active NPI

Aliza Berk

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1669860748
Registry record updated Dec 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT32542 Issued in CA
Practice address
2729 4TH Ave
Suite 4
San Diego, CA 92103-6223
Phone
(858) 220-5412
NPI assigned
Dec 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2014

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 MFT32542 CA Primary

Addresses

Primary practice location

2729 4TH Ave
Suite 4
San Diego, CA 92103-6223

Mailing address

2729 4TH Ave
Suite 4
San Diego, CA 92103-6223
Phone (858) 220-5412

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
I20240205001841 CA Practitioner - Marriage and Family Therapist 7517300700 Practice locations: La Jolla, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5754 Caminito Pulsera
La Jolla, CA 92037-7159
Phone (858) 220-5412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT32542CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1419465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419465600000",
    "number": "1669860748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 4TH AVE",
            "address_2": "SUITE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036223",
            "telephone_number": "858-220-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 4TH AVE",
            "address_2": "SUITE 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036223",
            "telephone_number": "858-220-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "ALIZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-25",
        "last_updated": "2014-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT32542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.