San Diego Center for Children
Organization Active NPI Community/Behavioral Health Agency · San Diego, CA
NPI 1124452545 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1124452545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- SAN DIEGO CENTER FOR CHILDREN
- Practice address
- 3002 Armstrong St
San Diego, CA 92111-5702 - Phone
- (858) 277-9550
- Fax
- (858) 279-2763
- NPI assigned
- Aug 22, 2013
- Organization subpart
- No
Authorized official
- Name
- Ms. Misty Howard
- Title
- Qa Director
- Phone
- (858) 569-2199
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- San Diego Center for Children
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
3002 Armstrong St
San Diego, CA 92111-5702
Mailing address
3002 Armstrong St
San Diego, CA 92111-5702
Phone (858) 277-9550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37P5 | Other | CA | MEDI-CAL |
Other names
- WrapWorks
NPI Registry JSON
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682640000000",
"number": "1124452545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 ARMSTRONG ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115702",
"telephone_number": "858-277-9550",
"fax_number": "858-279-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 ARMSTRONG ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115702",
"telephone_number": "858-277-9550",
"fax_number": "858-279-2763"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO CENTER FOR CHILDREN",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-22",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "MISTY",
"authorized_official_title_or_position": "QA DIRECTOR",
"authorized_official_telephone_number": "858-569-2199",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "37P5",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WrapWorks",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WrapWorks",
"code": "3",
"type": "Doing Business As"
}
]
}
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All providers in San Diego, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.