County of San Diego, Aging & Independance Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFC36490 Issued in CA

Legal business name

COUNTY OF SAN DIEGO, AGING & INDEPENDANCE SERVICES

Practice address

4858 Del Mar Ave
San Diego, CA 92107

Phone

(760) 739-6152

Fax

(760) 739-6154

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Gail Marie McGvien I, MFT

Title

Senior Team

Phone

(760) 739-6152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184836215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4858 DEL MAR AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92107",
            "telephone_number": "760-739-6152",
            "fax_number": "760-739-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4858 DEL MAR AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92107",
            "telephone_number": "760-739-6152",
            "fax_number": "760-739-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN DIEGO, AGING & INDEPENDANCE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGVIEN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SENIOR TEAM",
        "authorized_official_telephone_number": "760-739-6152",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC36490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of San Diego (Hhsa Pharmacy)
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• Jennifer Courcy, INTERN
• Asimina Courelli, MD

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.