Individual provider Active NPI

Irina Weitzen

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1932916624
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
154677 Issued in CA
Practice address
12273 Caminito Mira del Mar
San Diego, CA 92130-2306
Phone
(858) 344-8260
NPI assigned
Dec 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 154677 CA Primary

Addresses

Primary practice location

12273 Caminito Mira del Mar
San Diego, CA 92130-2306

Mailing address

12273 Caminito Mira del Mar
San Diego, CA 92130-2306
Phone (858) 344-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250605001335 CA Practitioner - Marriage and Family Therapist 0749799153 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

San Diego, CA 92130
Phone (858) 707-5840

12273 Caminito Mira del Mar
San Diego, CA 92130-2306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1932916624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12273 CAMINITO MIRA DEL MAR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302306",
            "telephone_number": "858-344-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12273 CAMINITO MIRA DEL MAR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302306",
            "telephone_number": "858-344-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEITZEN",
        "first_name": "IRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "154677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.