Individual provider Active NPI

Marcelo Alberto Podesta, LMFT

  • Marriage & Family Therapist
  • La Mesa, CA
National Provider Identifier
1699075184
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 77776 Issued in CA
Practice address
7317 El Cajon Blvd Unit 230
La Mesa, CA 91942-7434
Phone
(619) 653-6900
NPI assigned
Oct 29, 2010
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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 LMFT 77776 CA Primary

Addresses

Primary practice location

7317 El Cajon Blvd Unit 230
La Mesa, CA 91942-7434

Mailing address

7317 El Cajon Blvd # 230
La Mesa, CA 91942-7434
Phone (619) 653-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT 77776CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince May 15, 2024 Accepting new patients
Bienestar Child and Family Therapy, Inc. Marriage & Family Therapist CurrentSince Aug 6, 2019 Accepting new patients

Locations

7317 El Cajon Blvd
#230
La Mesa, CA 91942
Phone (619) 653-6900

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 2

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": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1699075184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 EL CAJON BLVD # 230",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427434",
            "telephone_number": "619-653-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 EL CAJON BLVD UNIT 230",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427434",
            "telephone_number": "619-653-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODESTA",
        "first_name": "MARCELO",
        "middle_name": "ALBERTO",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 77776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.