Individual provider Active NPI

Daniel Richard Vaci, LICENSED MFT #50418

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1902050685
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
50418 Issued in CA
Practice address
2231 Camino del Rio South
Suite 308
San Diego, CA 92108
Phone
(619) 942-1776
Fax
(619) 260-3054
NPI assigned
Nov 7, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 50418 CA Primary

Addresses

Primary practice location

2231 Camino del Rio South
Suite 308
San Diego, CA 92108

Mailing address

4451 1/2 Louisiana Street
San Diego, CA 92116
Phone (619) 942-1776

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

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1902050685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 1/2 LOUISIANA STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92116",
            "telephone_number": "619-942-1776",
            "fax_number": "619-542-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 CAMINO DEL RIO SOUTH",
            "address_2": "SUITE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-942-1776",
            "fax_number": "619-260-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACI",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LICENSED MFT #50418",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-07",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50418",
            "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 Aug 9, 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.