Individual provider Active NPI

Hilario Didi Vanegas Moncado III, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1679358980
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
133000 Issued in CA
Practice address
6333 College Grove Way Unit 6106
San Diego, CA 92115
Phone
(619) 453-9282
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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 133000 CA Primary

Addresses

Primary practice location

6333 College Grove Way Unit 6106
San Diego, CA 92115

Mailing address

6333 College Grove Way Unit 6106
San Diego, CA 92115-7216
Phone (619) 453-9282

Other practice location 1

6333 College Grove Way Unit 6106
San Diego, CA 92115

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

State licenses

LicenseStateTypeSpecialty
133000CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1679358980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 COLLEGE GROVE WAY UNIT 6106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921157216",
            "telephone_number": "619-453-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 COLLEGE GROVE WAY UNIT 6106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92115",
            "telephone_number": "619-453-9282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6333 College Grove Way Unit 6106",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92115",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONCADO",
        "first_name": "HILARIO DIDI",
        "middle_name": "VANEGAS",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133000",
            "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 Aug 28, 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.