Active NPI
Christian G. Cazares
- Student in an Organized Health Care Education/Training Program
- Escondido, CA
National Provider Identifier
1164014650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 490 N Grape St
Escondido, CA 92025-3079 - Phone
- (760) 975-9939
- Fax
- (760) 509-9093
- NPI assigned
- Feb 7, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
490 N Grape St
Escondido, CA 92025-3079
Mailing address
490 N Grape St
Escondido, CA 92025-3079
Phone (760) 975-9939
Other practice location 1
3132 Jefferson St
San Diego, CA 92110-4421
Phone (619) 276-1176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Case Manager/Care Coordinator | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1164014650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 N GRAPE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253079",
"telephone_number": "760-975-9939",
"fax_number": "760-509-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 N GRAPE ST",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253079",
"telephone_number": "760-975-9939",
"fax_number": "760-509-9093"
}
],
"practiceLocations": [
{
"address_1": "3132 Jefferson St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921104421",
"country_code": "US",
"telephone_number": "619-276-1176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAZARES",
"first_name": "CHRISTIAN",
"middle_name": "G.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-07",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
- Katie Cathcart, LVN
- Alicia Michelle Caton
- Stefani Marie Catour
- Teri Ann Cavanagh, LCSW
- Brooke Ann Cavecche
- Angelica Centeno-Shreder, MA, CCC-SLP, SLPC
- Centro de Salud de la Comunidad de San Ysidro, Inc. (San Ysidro Health Escondido Family Medicine)
- Centro Medico del Carmen, a Medical Corporation
- Centro Medico del Carmen, a Medical Corporation
- Cep America - California (Vituity)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.