Marygrace Youssef Ghosn

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1180 3Rd Ave Ste C3
Chula Vista, CA 91911-3139

Phone

(619) 888-8656

NPI assigned

Feb 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1942765599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 GRAND AVE",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919774332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 3RD AVE STE C3",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113139",
            "telephone_number": "619-888-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSN",
        "first_name": "MARYGRACE",
        "middle_name": "YOUSSEF",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Veronica Gervasi, RN, PHN
• Malerie Gest
• Steven Thomas Gettelfinger, PT
• Simin M Ghahremani, M.D.
• Marlin E Gher Jr., D.D.S.
• Gia Dental Inc
• Glenn Edward Gibson, DDS
• Nicholas Lane Gibson, DC
• Samuel Cyrus Gidanian, MD
• Lauren Gideon, APCC

• Addiction (Substance Use Disorder) Counselor in Chula Vista, CA
• Providers in Chula Vista, 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 Feb 7, 2019; 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.