NPIMap

Organization Active NPI

Arcc Center Foundation, Inc

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • San Diego, CA
National Provider Identifier
1205184140
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
ARCC CENTER FOUNDATION, INC
Practice address
6204 College Ave
San Diego, CA 92120-3006
Phone
(619) 300-4366
Fax
(949) 812-6657
NPI assigned
Aug 27, 2012
Last updated
Apr 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Marie Annette Bacsik
Title
Director
Phone
(619) 300-4366

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X
Respite Care Camp 385HR2050X
Child Mental Illness Respite Care 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

6204 College Ave
San Diego, CA 92120-3006

Mailing address

5173 Waring Rd Ste 114
San Diego, CA 92120-2705
Phone (619) 300-4366

National Provider Directory

National Provider Directory

Locations

5173 Waring Rd
Ste 114
San Diego, CA 92120

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1205184140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5173 WARING RD STE 114",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202705",
            "telephone_number": "619-300-4366",
            "fax_number": "949-812-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6204 COLLEGE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921203006",
            "telephone_number": "619-300-4366",
            "fax_number": "949-812-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCC CENTER FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-27",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "BACSIK",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-300-4366"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Apr 20, 2017; 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.