NPIMap

Organization Active NPI

Stepping Stone of San Diego, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1013045905
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0807025 Issued in CA
Legal business name
STEPPING STONE OF SAN DIEGO, INC.
Practice address
3767 Central Ave
San Diego, CA 92105-2506
Phone
(619) 584-4010
Fax
(619) 584-1546
NPI assigned
Mar 1, 2007
Last updated
Aug 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrew Picard
Title
Executive Director
Phone
(619) 584-4010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0807025 CA Primary

Addresses

Primary practice location

3767 Central Ave
San Diego, CA 92105-2506

Mailing address

3767 Central Ave
San Diego, CA 92105-2506
Phone (619) 278-0777

National Provider Directory

National Provider Directory
Tax ID family
Stepping Stone of San Diego2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3767 Central Ave
San Diego, CA 92105
Phone (619) 278-0777

Practitioners & affiliated clinicians

Practitioners 110

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 110

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1013045905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3767 CENTRAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921052506",
            "telephone_number": "619-278-0777",
            "fax_number": "619-278-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 CENTRAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921052506",
            "telephone_number": "619-584-4010",
            "fax_number": "619-584-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONE OF SAN DIEGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-08-29",
        "certification_date": "2020-07-24",
        "status": "A",
        "authorized_official_last_name": "PICARD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-584-4010"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "0807025",
            "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 Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.