Organization Active NPI

Path (People Assisting the Homeless)

Doing business as Valley Vista PSH Program

  • Case Management Agency
  • San Diego, CA
National Provider Identifier
1063163350
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PATH (PEOPLE ASSISTING THE HOMELESS)
Doing business as
Valley Vista PSH Program
Practice address
1865 Hotel Cir S
San Diego, CA 92108-3319
Phone
(619) 881-3600
NPI assigned
Jan 18, 2022
Last updated
Jan 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
La Keishia Childers, MSW
Title
Ccao
Phone
(323) 644-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1865 Hotel Cir S
San Diego, CA 92108-3319

Mailing address

340 N Madison Ave
Los Angeles, CA 90004-3504
Phone (323) 644-2224

Other names 1

  • Valley Vista PSH Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Path People Assisting the Homeless4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1865 Hotel Cir S
San Diego, CA 92108
Phone (619) 673-8116

NPI Registry JSON

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1063163350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N MADISON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043504",
            "telephone_number": "323-644-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 HOTEL CIR S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083319",
            "telephone_number": "619-881-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH (PEOPLE ASSISTING THE HOMELESS)",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "LA KEISHIA",
        "authorized_official_title_or_position": "CCAO",
        "authorized_official_telephone_number": "323-644-2224",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vista PSH Program",
            "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 Jan 19, 2022; 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.