Organization Active NPI

East County Mental Health Clinic

  • Point of Service
  • El Cajon, CA
National Provider Identifier
1033360268
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
EAST COUNTY MENTAL HEALTH CLINIC
Practice address
1000 Broadway
Suite 210
El Cajon, CA 92021-7417
Phone
(619) 401-5500
Fax
(619) 401-5454
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Ms. Luz Fernandez, MPH, LCSW
Title
Program Manager
Phone
(619) 401-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Primary

Addresses

Primary practice location

1000 Broadway
Suite 210
El Cajon, CA 92021-7417

Mailing address

1000 Broadway Ave.
Suite 210
El Cajon, CA 92021-4638
Phone (619) 401-5500

National Provider Directory

National Provider Directory
Tax ID family
Edgemoor Geriatric Hospital101 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1033360268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY AVE.",
            "address_2": "SUITE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214638",
            "telephone_number": "619-401-5500",
            "fax_number": "619-401-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY",
            "address_2": "SUITE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920217417",
            "telephone_number": "619-401-5500",
            "fax_number": "619-401-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COUNTY MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LUZ",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "619-401-5500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH, LCSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.