Nubia Erendida Munguia I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14787 Issued in CA

Practice address

4161 Marlborough Ave
San Diego, CA 92105-1412

Phone

(619) 282-7274

NPI assigned

May 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Crash, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1932610771
  NPD (past)
• Metropolitan Area Advisory Committee on Anti-Poverty of San Diego County, Inc.

  dba Casa De Milagros

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1184076929
  NPD (past)

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1891432670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 MARLBOROUGH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051412",
            "telephone_number": "619-282-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 MARLBOROUGH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051412",
            "telephone_number": "619-282-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGUIA",
        "first_name": "NUBIA",
        "middle_name": "ERENDIDA",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Mungarro
• Kimberly Mungovan, PT
• Mayra Munguia Reyna
• Jesus Angel Munguia
• Luis M Munguia
• Randy Giorgio Munguia, RANDY
• Yesenia Munguia
• Jacob Munhoz, MA, AMFT
• Sterling Matthew Munich
• Kiran Sufian Munir, M.D

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.