Juan Fernando Madrazo Torres

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29443 Issued in CA

Practice address

224 Landis Ave
Chula Vista, CA 91910-2609

Phone

(619) 730-9603

NPI assigned

Jul 14, 2008

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 identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruce Yanofsky PHD, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chula Vista, CA
  • NPI 1861911430
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1831353366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 TELEGRAPH CANYON RD # 616",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106436",
            "telephone_number": "619-730-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 LANDIS AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102609",
            "telephone_number": "619-730-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRAZO TORRES",
        "first_name": "JUAN",
        "middle_name": "FERNANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831353366",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas J Mackey, MD
• Shannon Maclean, PT
• Abbygail Lynn Madamba
• Raquel Madar
• Andrea Julieta Mader
• Raquel Madrigal
• Ashley Ryan Madsen
• Erick Alfonso Mafong, M.D.
• Guadalupe Magallanes
• Mariela Magana Ceballos, DO

• Clinical Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.