Unknown Individual – Marriage & Family Therapist, NPI 1104813989

Unknown Individual is a healthcare provider. based in San diego, California. specializing in Marriage & Family Therapist. They hold a License No. MFC22360 (CA). The NPI Number for Unknown Individual is 1104813989

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104813989
Phone
(619) 822-2300
Address
2815 TALBOT ST
Deactivation Date
26 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 2815, Talbot Street, Little Portugal, Point Loma, San Diego, San Diego County, California, 92106, United States

    SAN DIEGO, CA 921063025

    Phone: (619) 822-2300

    Fax: (415) 680-1526

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92106)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1104813989 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near San Diego?
Unknown Individual currently maps to San Diego, California in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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