Organization Active NPI

FRN San Diego LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Diego, CA
National Provider Identifier
1104219377
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
370146AP Issued in CA
Legal business name
FRN SAN DIEGO LLC
Doing business as
Foundations San Diego
Practice address
3930 4TH Ave
Suite 300
San Diego, CA 92103-3119
Phone
(619) 849-6010
NPI assigned
Mar 12, 2015
Organization subpart
Yes
Parent organization
FOUNDATIONS RECOVERY NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Steve Filton
Title
Evp - Chief Financial Officer
Phone
(610) 382-3319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 370146AP CA Primary

Addresses

Primary practice location

3930 4TH Ave
Suite 300
San Diego, CA 92103-3119

Mailing address

1000 Health Park Drive
Building Three, Suite 400
Brentwood, TN 37027
Phone (615) 386-7255

Other names 1

  • Foundations San Diego Doing business as

National Provider Directory

National Provider Directory
Part of
Dual Diagnosis Management LLC Dba Palmsprings Serenity Retreat

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1104219377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HEALTH PARK DRIVE",
            "address_2": "BUILDING THREE, SUITE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "37027",
            "telephone_number": "615-386-7255",
            "fax_number": "615-645-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 4TH AVE",
            "address_2": "SUITE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033119",
            "telephone_number": "619-849-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRN SAN DIEGO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNDATIONS RECOVERY NETWORK",
        "enumeration_date": "2015-03-12",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "EVP - CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-382-3319"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "370146AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations San Diego",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foundations 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 May 15, 2019; 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.