Active NPI
Itzuri Angela Hurtado, MA
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1942634092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 87623
- Practice address
- 2204 National Ave
San Diego, CA 92113-3615 - Phone
- (619) 515-2355
- Fax
- (619) 515-2453
- NPI assigned
- Aug 26, 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 | 87623 | CA | Primary |
Addresses
Primary practice location
2204 National Ave
San Diego, CA 92113-3615
Mailing address
2204 National Ave
San Diego, CA 92113-3615
Phone (619) 515-2355
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87623 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neat Family Therapy Inc | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Sunnyvale, CA
- NPI 1578278297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1942634092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 NATIONAL AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921133615",
"telephone_number": "619-515-2355",
"fax_number": "619-515-2453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 NATIONAL AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921133615",
"telephone_number": "619-515-2355",
"fax_number": "619-515-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURTADO",
"first_name": "ITZURI",
"middle_name": "ANGELA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-26",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "87623",
"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 Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.