Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fareed Mangisto

Individual provider Marriage & Family Therapist · NPI 1376949479

Fareed Mangisto is a Marriage & Family Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

4120 Alabama St Apt 9
San Diego, CA 92104-7021
Phone: (619) 254-2876
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 122951 (CA)

Record details

NPI number1376949479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 17, 2014
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

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