Casa de Amparo

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

CASA DE AMPARO

Doing business as

Casa de Amparo STRTP B&C

Practice address

325 Buena Creek Rd
San Marcos, CA 92069-9679

Phone

(760) 754-5500

NPI assigned

Nov 3, 2022

Organization subpart

No

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

Authorized official

Name

Sheena Bergeron

Title

Chief Program Officer

Phone

(760) 566-3587

Specialties & licenses 1

Addresses

Other names 1

• Casa de Amparo STRTP B&C Doing business as

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1174230650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BUENA CREEK RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699679",
            "telephone_number": "760-754-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BUENA CREEK RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699679",
            "telephone_number": "760-754-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE AMPARO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "CHIEF PROGRAM OFFICER",
        "authorized_official_telephone_number": "760-566-3587"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa de Amparo STRTP B&C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John August Carrion, P.T.
• Joseph Brian Carroll, FNP
• Maya Devonne Carroll, PMHNP-BC
• Lexxus Carter
• Casa de Amparo
• Casa de Amparo
• Casa de Amparo
• Grace Casey
• Diana Kiralyfalvi Casillas, AUD.
• Summer Casson, PHARM D

• Emotionally Disturbed Childrens' Residential Treatment Facility in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.