NPIMap

Organization Active NPI

Sweetwater Union High School District

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1114381969
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SWEETWATER UNION HIGH SCHOOL DISTRICT
Practice address
1051 Picador Blvd
San Diego, CA 92154-3548
Phone
(619) 662-8372
NPI assigned
Apr 7, 2016
Organization subpart
Yes
Parent organization
SWEETWATER UNION HIGH SCHOOL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Dr. R. Vernon Moore, ED. D.
Title
Chief of Educational Equity
Phone
(619) 407-4933

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X CA
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

1051 Picador Blvd
San Diego, CA 92154-3548

Mailing address

1130 5TH Ave
Chula Vista, CA 91911-2812
Phone (619) 407-4920

Other names 1

  • Sweetwater Outpatient Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Sweetwater Union High School District3 organizations share this tax ID, including this one
Part of
Sweetwater Union High School District

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1459987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1114381969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 5TH AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112812",
            "telephone_number": "619-407-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 PICADOR BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543548",
            "telephone_number": "619-662-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER UNION HIGH SCHOOL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SWEETWATER UNION HIGH SCHOOL DISTRICT",
        "enumeration_date": "2016-04-07",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "R. VERNON",
        "authorized_official_title_or_position": "CHIEF OF EDUCATIONAL EQUITY",
        "authorized_official_telephone_number": "619-407-4933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED. D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweetwater Outpatient Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sweetwater Outpatient Clinic",
            "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 Nov 11, 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.