Individual provider Active NPI

Jose Cherbowsky, MFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1710066451
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41717 Issued in CA
Practice address
11772 Sorrento Valley Rd
Suite 160
San Diego, CA 92121-1015
Phone
(760) 420-4971
Fax
(760) 230-8016
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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 41717 CA Primary

Addresses

Primary practice location

11772 Sorrento Valley Rd
Suite 160
San Diego, CA 92121-1015

Mailing address

11772 Sorrento Valley Rd
Suite 160
San Diego, CA 92121-1015
Phone (760) 420-4971

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
41717CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1710066451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11772 SORRENTO VALLEY RD",
            "address_2": "SUITE 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211015",
            "telephone_number": "760-420-4971",
            "fax_number": "760-230-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11772 SORRENTO VALLEY RD",
            "address_2": "SUITE 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211015",
            "telephone_number": "760-420-4971",
            "fax_number": "760-230-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERBOWSKY",
        "first_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41717",
            "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 27, 2012; 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.