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Roy Carroll Rawers, M.F.T.

Marriage & Family Therapist in San Diego, CA. Individual provider (NPI-1).

NPI number1760784649
StatusActive
Last updated in NPPESJun 25, 2013

Details

NPI
1760784649
Entity type
Individual (NPI-1)
Name
Roy Carroll Rawers
Credential
M.F.T.
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 26, 2010
Last updated
Jun 25, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
Medicare opt-out
Oct 26, 2024 to Oct 26, 2026
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist49058CAYes

Practice location

3625 Ruffin Rd
Suite 302
San Diego, CA 92123-1879

Phone 858-864-8769 · Fax 858-244-1807

Mailing address

3625 Ruffin Rd
Suite 302
San Diego, CA 92123-1879

Phone 858-864-8769 · Fax 858-244-1807

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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