Active NPI
Angie Cardenas
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1871930784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 96659
- Practice address
- 1202 Morena Blvd Ste 300
San Diego, CA 92110-3844 - Phone
- (619) 276-8112
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 96659 | CA | Primary |
Addresses
Primary practice location
1202 Morena Blvd Ste 300
San Diego, CA 92110-3844
Mailing address
225 W Valley Pkwy
Suite 100
Escondido, CA 92025-2613
Phone (760) 233-0133
Other practice location 1
225 W Valley Pkwy
Suite 100
Escondido, CA 92025-2613
Phone (760) 233-0133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMFT96659 | Other | CA | LMFT |
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 |
|---|---|---|---|
| 96659 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Alternatives, 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Escondido, CA
- NPI 1407207566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1871930784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W VALLEY PKWY",
"address_2": "SUITE 100",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920252613",
"telephone_number": "760-233-0133",
"fax_number": "760-233-0433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MORENA BLVD STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103844",
"telephone_number": "619-276-8112"
}
],
"practiceLocations": [
{
"address_1": "225 W Valley Pkwy",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920252613",
"country_code": "US",
"telephone_number": "760-233-0133",
"fax_number": "760-233-0433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARDENAS",
"first_name": "ANGIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-31",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "96659",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "LMFT96659",
"state": "CA"
}
],
"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 Dec 19, 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.