Bayside Community Center

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BAYSIDE COMMUNITY CENTER

Practice address

2202 Comstock St
San Diego, CA 92111-6502

Phone

(858) 278-0771

Fax

(858) 278-6193

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Riquelme

Title

Director

Phone

(858) 278-0771

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023134467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 COMSTOCK ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116502",
            "telephone_number": "858-278-0771",
            "fax_number": "858-278-6193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 COMSTOCK ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921116502",
            "telephone_number": "858-278-0771",
            "fax_number": "858-278-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIQUELME",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "858-278-0771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bays Nursing Corporation (Gay Bays NP, RN)
• Christina Bays
• Lori Bays, LMFT
• Alyssa D Baysa
• Melda Ina Baysal Walsh
• Bayside Dermatology Incorporated
• Bayside Medical Transporation LLC
• Baysport
• Rose Donna Maria Baytop, MD
• Bayview Recovery Center LLC

• Case Management Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.