CHG Casa Pacifica

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

CHG CASA PACIFICA

Practice address

1424 30TH St Ste C
San Diego, CA 92154-3417

Phone

(619) 424-8181

NPI assigned

Sep 27, 2024

Organization subpart

No

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

Authorized official

Name

Yousaf Mohd FarookNPI 1467673509

Title

Administrator

Phone

(619) 498-6540

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yousaf Mohammed Farook, HEALTH EDUCATOR

  • Case Manager/Care Coordinator
  • San Diego, CA
  • NPI 1467673509
  NPD Authorized official

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1033937222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 30TH ST STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543417",
            "telephone_number": "619-424-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 30TH ST STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543417",
            "telephone_number": "619-424-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHG CASA PACIFICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "FAROOK",
        "authorized_official_first_name": "YOUSAF",
        "authorized_official_middle_name": "MOHD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-498-6540"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Jessica Chew, NP
• Mason Bryan Chew, MSN, FNP-C
• Renee NG Chew
• Jessica Marie Chewiwie
• Rush Hamilton Chewning, M.D.
• Karizma Chhabra, MD
• Tamanna Chhabra
• Gayatri Ravindra Chhatre, M.D.
• Catherine Ann Chhay, OTR/L
• Thangputtevy Melanie Chhea, RBT

• Adult Day Care Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.