Jose Elias Villafana, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 36841 Issued in CA

Practice address

8080 La Mesa Blvd Ste 204
La Mesa, CA 91942-0362

Phone

(619) 540-0700

Fax

(619) 462-1856

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Elias Villafana Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831228824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1156",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919461156",
            "telephone_number": "619-540-0700",
            "fax_number": "619-462-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 LA MESA BLVD STE 204",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420362",
            "telephone_number": "619-540-0700",
            "fax_number": "619-462-1856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4333 Palm Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919416529",
            "country_code": "US",
            "telephone_number": "619-540-0700",
            "fax_number": "619-462-1856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAFANA",
        "first_name": "JOSE",
        "middle_name": "ELIAS",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 36841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIAS",
            "last_name": "VILLAFANA",
            "prefix": "MR.",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Marriage & Family Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.