Active NPI
Jesus Abel Rodriguez, AMFT158627
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1841757267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 158627
- Practice address
- 1666 Precision Park LN
San Diego, CA 92173-1346 - Phone
- (619) 662-4100
- Fax
- (619) 662-4100
- NPI assigned
- Feb 21, 2019
- Last updated
- Oct 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AII051610324 | CA | |
| Marriage & Family Therapist | 106H00000X | 158627 | CA | Primary |
Addresses
Primary practice location
1666 Precision Park LN
San Diego, CA 92173-1346
Mailing address
1666 Precision Park LN
San Ysidro, CA 92173-1346
Phone (619) 662-4100
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
| License | State | Type | Specialty |
|---|---|---|---|
| AII051610324 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 158627 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Area Advisory Committee on Anti-Poverty of San Diego County, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Nosotros
- Substance Abuse Rehabilitation Facility
- Chula Vista, CA
- NPI 1801248554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1841757267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1666 PRECISION PARK LN",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921731346",
"telephone_number": "619-662-4100",
"fax_number": "619-662-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1666 PRECISION PARK LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921731346",
"telephone_number": "619-662-4100",
"fax_number": "619-662-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "JESUS",
"middle_name": "ABEL",
"credential": "AMFT158627",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "AII051610324",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "158627",
"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 Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.