NPIMap

Organization Active NPI

San Diego Rescue Mission

  • Case Manager/Care Coordinator
  • San Diego, CA
National Provider Identifier
1023598356
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SAN DIEGO RESCUE MISSION
Practice address
120 Elm St
San Diego, CA 92101-2602
Phone
(619) 819-1830
NPI assigned
Aug 16, 2018
Organization subpart
Yes
Parent organization
SAN DIEGO RESCUE MISSIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Jeremy Lee Dawsey-Richardson
Title
Vice President of Programs
Phone
(619) 819-1830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

120 Elm St
San Diego, CA 92101-2602

Mailing address

120 Elm St
San Diego, CA 92101-2602
Phone (619) 819-1830

Other identifiers 1

IdentifierTypeStateIssuer
1871953604MedicaidCA

Other names 1

  • Recuperative Care Unit Other name

National Provider Directory

National Provider Directory
Tax ID family
San Diego Rescue Mission2 organizations share this tax ID, including this one
Part of
San Diego Rescue Mission

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1023598356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ELM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012602",
            "telephone_number": "619-819-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ELM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012602",
            "telephone_number": "619-819-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO RESCUE MISSION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN DIEGO RESCUE MISSION",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "DAWSEY-RICHARDSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF PROGRAMS",
        "authorized_official_telephone_number": "619-819-1830"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871953604",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recuperative Care Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Recuperative Care Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 16, 2018; 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.