NPIMap

Organization Active NPI

Crash, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1124539960
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CRASH, INC.
Practice address
835 25TH St
San Diego, CA 92102-2738
Phone
(619) 239-9691
Fax
(619) 239-0909
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Mary Himmelberger
Title
Executive Director
Phone
(619) 297-5131

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 370024KN CA
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

835 25TH St
San Diego, CA 92102-2738

Mailing address

4025 Camino del Rio S Ste 207
San Diego, CA 92108-4108
Phone (619) 297-5131

Other practice location 1

726 F St
San Diego, CA 92101-6303
Phone (619) 239-9691

Other identifiers 1

IdentifierTypeStateIssuer
37BPMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Crash Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1081 Camino del Rio S
Ste 129
San Diego, CA 92108
Phone (619) 297-5131

835 25th St
San Diego, CA 92102
Phone (619) 234-5465

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1124539960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 CAMINO DEL RIO S STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084108",
            "telephone_number": "619-297-5131",
            "fax_number": "619-296-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 25TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022738",
            "telephone_number": "619-239-9691",
            "fax_number": "619-239-0909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "726 F St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921016303",
            "country_code": "US",
            "telephone_number": "619-239-9691",
            "fax_number": "619-239-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRASH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "HIMMELBERGER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-297-5131"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "370024KN",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37BP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 27, 2025; 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.