Candace Fanale, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is
4907 Morena Blvd Ste 1412, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(858) 247-2417.
Candace Fanale is licensed to practice in California (license number 30957) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1689907370.
Healthcare Provider's Profile
Full Name | Candace Fanale |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 4907 Morena Blvd Ste 1412, San Diego, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Candace Fanale attended and graduated from in
NPI Data:
- NPI Number: 1689907370
- Provider Enumeration Date: 09/12/2009
- Last Update Date: 06/07/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Candace Fanale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689907370 | NPI | - | NPPES |
1689907370 | Other | | N/A |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 30957 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Candace Fanale is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Candace Fanale, PHD 3960 W Point Loma Blvd, Ste #56720, San Diego, CA 92110 Ph: () - | Candace Fanale, PHD 4907 Morena Blvd Ste 1412, San Diego, CA 92117-7391 Ph: (858) 247-2417 |
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