Active NPI
Perry Pitcher
- Case Manager/Care Coordinator
- San Diego, CA
National Provider Identifier
1003541624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- W9078337
- Practice address
- 3570 Camino del Rio N Ste 105
San Diego, CA 92108-1747 - Phone
- (619) 874-0600
- NPI assigned
- Jul 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | W9078337 | CA | Primary |
Addresses
Primary practice location
3570 Camino del Rio N Ste 105
San Diego, CA 92108-1747
Mailing address
3570 Camino del Rio N Ste 105
San Diego, CA 92108-1747
Phone (619) 874-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| W9078337 | CA | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxim Healthcare Services, Inc. | Past | Accepting new patients | |
| Maxim Healthcare Services Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Mountlake Terrace, WA
- NPI 1477051993
-
- Home Health Agency
- Mountlake Terrace, WA
- NPI 1932206380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1003541624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3570 CAMINO DEL RIO N STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081747",
"telephone_number": "619-874-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3570 CAMINO DEL RIO N STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081747",
"telephone_number": "619-874-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITCHER",
"first_name": "PERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-18",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "W9078337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.