NPIMap

Organization Active NPI

Community Research Foundation

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1104001064
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY RESEARCH FOUNDATION
Practice address
2772 4TH Ave
San Diego, CA 92103-6206
Phone
(619) 295-6067
NPI assigned
Jan 9, 2008
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY RESEARCH FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Innes Borros
Title
Program Director
Phone
(619) 295-6067

Specialties & licenses 1

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

Addresses

Primary practice location

2772 4TH Ave
San Diego, CA 92103-6206

Mailing address

2772 4TH Ave
San Diego, CA 92103-6206
Phone (619) 295-6067

Other names 1

  • StepForward/Calworks Other name

National Provider Directory

National Provider Directory
Part of
Community Research Foundation

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1104001064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2772 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036206",
            "telephone_number": "619-295-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2772 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921036206",
            "telephone_number": "619-295-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESEARCH FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY RESEARCH FOUNDATION",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "BORROS",
        "authorized_official_first_name": "INNES",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "619-295-6067"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StepForward/Calworks",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 9, 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.