Abby Jane-Marie Cordova, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 51650 Issued in CA

Practice address

6472 Boulder Lake Ave
San Diego, CA 92119-3142

Phone

(925) 487-0614

NPI assigned

Oct 22, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1982957361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8898 NAVAJO ROAD",
            "address_2": "SUITE C #152",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193142",
            "telephone_number": "925-487-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6472 BOULDER LAKE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193142",
            "telephone_number": "925-487-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "ABBY",
        "middle_name": "JANE-MARIE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 51650",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Joy Cordle, LCSW
• Cordoba Care (First light Home care)
• Ivonne Cordoba, RN
• Tatiana J Cordova Sierra
• Monica A Cordova-Thompson
• Emily Cordova
• Evelyn Denisse Cordova, REGISTERED BEHAVIOR
• Kayla Rae Cordova
• Lourdes Cordova
• McKayla Denise Cordova

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.