Active NPI
Included
- Multi-Specialty Clinic/Center
- San Diego, CA
National Provider Identifier
1033080205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- INCLUDED
- Practice address
- 4761 Cass St
San Diego, CA 92109-2604 - Phone
- (203) 543-2994
- NPI assigned
- Sep 12, 2025
- Last updated
- Sep 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Aislinn Clare McKeown, MS, OTR/L
- Title
- Clinical Coordinator
- Phone
- (203) 543-2994
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
4761 Cass St
San Diego, CA 92109-2604
Mailing address
4761 Cass St
San Diego, CA 92109-2604
Phone (203) 543-2994
National Provider Directory
National Provider DirectoryLocations
4761 Cass St
San Diego, CA 92109
Phone (203) 543-2994
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Occupational Therapist
- San Diego, CA
- NPI 1922688563
-
- Speech-Language Pathologist
- San Diego, CA
- NPI 1679458228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1033080205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4761 CASS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921092604",
"telephone_number": "203-543-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4761 CASS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921092604",
"telephone_number": "203-543-2994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INCLUDED",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-12",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A",
"authorized_official_last_name": "MCKEOWN",
"authorized_official_first_name": "AISLINN",
"authorized_official_middle_name": "CLARE",
"authorized_official_title_or_position": "CLINICAL COORDINATOR",
"authorized_official_telephone_number": "203-543-2994",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"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 Sep 12, 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.