Active NPI
Dallas Fotinos
- Professional Counselor
- San Diego, CA
National Provider Identifier
1912486424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7115
- Practice address
- 3027 Fleming Dr
San Diego, CA 92139-3714 - Phone
- (858) 442-6355
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7115 | CA | Primary |
Addresses
Primary practice location
3027 Fleming Dr
San Diego, CA 92139-3714
Mailing address
3027 Fleming Dr
San Diego, CA 92139-3714
Phone (858) 442-6355
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": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1912486424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3027 FLEMING DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921393714",
"telephone_number": "858-442-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3027 FLEMING DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921393714",
"telephone_number": "858-442-6355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOTINOS",
"first_name": "DALLAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "7115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Patricia Lynn Foster, NURSE PRACTITIONER
- Ryann Marie Foster
- Sean Jonpaul Foster, CMT
- Stacy Foster
- Jennifer Foti, DO
- Laury Foucal
- Madelyn Foulk, PT, DPT
- Garrett Edwin Foulke, M.D.
- Fountains la Jolla SL, LLC (The Springs at Pacific Regent)
- Four Seasons Sisterhood Licensed Marrriage and Family Therapy, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.