MR. CHARLES AMBROSE BANZON MFT
NPI 1457422966
Marriage & Family Therapist in San Diego, CA

Q: What is Charles Banzon's NPI number?

The NPI number for Charles Banzon is 1457422966. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Charles Banzon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Banzon was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since November 13, 2006

2130 NATIONAL AVE, SAN DIEGO, CA 92113(619) 255-5171(619) 269-0464 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Mar 17, 2018, Dec 7, 2017 (3 updates tracked since 2017).

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About Mr. Charles Ambrose Banzon Mft NPPES

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

MR. CHARLES AMBROSE BANZON MFT (NPI 1457422966) is an individual marriage & family therapist in San Diego, California, licensed in California (49126) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1457422966

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. CHARLES AMBROSE BANZONCredential: MFT

Location Address2130 NATIONAL AVESan Diego, CA 92113-2209

Mailing Address2130 National AveSan Diego, CA 92113-2209 · (619) 255-5171 · Fax (619) 269-0464

Phone(619) 255-5171

Fax(619) 269-0464

Sole ProprietorYes

Enumeration DateNovember 13, 2006

Last NPPES UpdateAugust 27, 20243 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1457422966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 49126

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.

2130 NATIONAL AVE, San Diego, CA 92113

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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