Healthcare Provider Details

I. General information

NPI: 1396373809
Provider Name (Legal Business Name): ANNALIZA CAPATI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8898 CLAIREMONT MESA BLVD
SAN DIEGO CA
92123-1147
US

IV. Provider business mailing address

8898 CLAIREMONT MESA BLVD
SAN DIEGO CA
92123-1147
US

V. Phone/Fax

Practice location:
  • Phone: 858-715-1211
  • Fax: 858-715-1274
Mailing address:
  • Phone: 858-715-1211
  • Fax: 858-715-1274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: