NPIMap

Organization Active NPI

Social Advocates for Youth San Diego, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1043391923
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOCIAL ADVOCATES FOR YOUTH SAN DIEGO, INC.
Practice address
4775 Viewridge Ave
San Diego, CA 92123-1641
Phone
(858) 565-4148
Fax
(858) 565-4178
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Kelly Ann Vales
Title
Vice President
Phone
(619) 283-9624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4775 Viewridge Ave
San Diego, CA 92123-1641

Mailing address

4775 Viewridge Ave
San Diego, CA 92123-1641
Phone (858) 565-4148

Other names 1

  • SAY, San Diego Doing business as

National Provider Directory

National Provider Directory

Locations

4775 Viewridge Ave
San Diego, CA 92123
Phone (619) 283-9624

8755 Aero Dr
Ste 100
San Diego, CA 92123
Phone (619) 578-2232

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1043391923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 VIEWRIDGE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231641",
            "telephone_number": "858-565-4148",
            "fax_number": "858-565-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 VIEWRIDGE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231641",
            "telephone_number": "858-565-4148",
            "fax_number": "858-565-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL ADVOCATES FOR YOUTH SAN DIEGO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "VALES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "619-283-9624"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAY, San Diego",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SAY, San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 6, 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.