ANGELICA LUCIA CERVANTES VERDUZCO
NPI 1366989352
Marriage & Family Therapist in San Ysidro, CA

Active since January 27, 2017PECOS EnrolledAccepts Medicare Assignment
4630 BORDER VILLAGE RD STE N389, SAN YSIDRO, CA 92173(619) 585-7686 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2025, Feb 27, 2025, Oct 31, 2018 and 3 more (6 updates tracked since 2017).

About Angelica Lucia Cervantes Verduzco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELICA LUCIA CERVANTES VERDUZCO (NPI 1366989352) is an individual marriage & family therapist in San Ysidro, California, licensed in California (LMFT154917) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366989352
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANGELICA LUCIA CERVANTES VERDUZCO
Location Address4630 BORDER VILLAGE RD STE N389San Ysidro, CA 92173-3121
Mailing Address4630 Border Village Rd Ste N389San Ysidro, CA 92173-3121
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 27, 2017
Last NPPES UpdateAugust 12, 20256 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1366989352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · LMFT154917
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 18257 (CA)
4630 BORDER VILLAGE RD STE N389, San Ysidro, CA 92173

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Angelica Lucia Cervantes Verduzco is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688181589
PECOS Enrollment IDI20250725003816
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angelica Cervantes Verduzco's NPI number?

The NPI number for Angelica Cervantes Verduzco is 1366989352. It was assigned to this individual provider in the NPPES registry on January 27, 2017.

Where is Angelica Cervantes Verduzco located?

Angelica Cervantes Verduzco practices at 4630 Border Village Rd Ste N389, San Ysidro, CA 92173. The listed phone number is (619) 585-7686.

What is Angelica Cervantes Verduzco's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Angelica Cervantes Verduzco enrolled in Medicare?

Yes. Angelica Cervantes Verduzco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Angelica Cervantes Verduzco was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.