NPIMap

Organization Active NPI

San Diego Youth Services

  • Community/Behavioral Health Agency
  • El Cajon, CA
National Provider Identifier
1194972174
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37GC Issued in CA
Legal business name
SAN DIEGO YOUTH SERVICES
Practice address
1870 Cordell CT
Suite 101
El Cajon, CA 92020-0914
Phone
(619) 448-9700
Fax
(619) 448-9711
NPI assigned
Aug 21, 2008
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Mr. Walter Philips
Title
Chief Executive Officer
Phone
(619) 221-8601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 37GC CA Primary

Addresses

Primary practice location

1870 Cordell CT
Suite 101
El Cajon, CA 92020-0914

Mailing address

3255 Wing St
San Diego, CA 92110-4638
Phone (619) 221-8601

Other names 1

  • ECBHC School Based EPSDT Other name

National Provider Directory

National Provider Directory
Tax ID family
San Diego Youth Services16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

1870 Cordell Ct
Ste 101
El Cajon, CA 92020
Phone (619) 448-9700

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1194972174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 WING ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104638",
            "telephone_number": "619-221-8601",
            "fax_number": "619-221-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 CORDELL CT",
            "address_2": "SUITE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920200914",
            "telephone_number": "619-448-9700",
            "fax_number": "619-448-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "PHILIPS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-221-8601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "37GC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECBHC School Based EPSDT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.