Individual provider Active NPI

Jacob Munhoz, MA, AMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1962986273
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
109499 Issued in CA
Practice address
3333 Camino del Rio S Ste 215
San Diego, CA 92108-3837
Phone
(858) 848-9883
NPI assigned
Sep 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 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 109499 CA Primary

Addresses

Primary practice location

3333 Camino del Rio S Ste 215
San Diego, CA 92108-3837

Mailing address

3710 Wabash Ave Apt 209
San Diego, CA 92104-3964
Phone (510) 912-0086

Other identifiers 1

IdentifierTypeStateIssuer
109499OtherCABBS REGISTERED ASSOCIATE MARRIAGE AND FAMILY THERAPIST

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

LicenseStateTypeSpecialty
109499CAMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1962986273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 WABASH AVE APT 209",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043964",
            "telephone_number": "510-912-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CAMINO DEL RIO S STE 215",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083837",
            "telephone_number": "858-848-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNHOZ",
        "first_name": "JACOB",
        "credential": "MA, AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS REGISTERED ASSOCIATE MARRIAGE AND FAMILY THERAPIST",
            "identifier": "109499",
            "state": "CA"
        }
    ],
    "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 Sep 21, 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.