NPIMap

Organization Active NPI

Correctional Healthcare Partners, Inc.

  • Prison Health Clinic/Center
  • San Diego, CA
National Provider Identifier
1215855598
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
CORRECTIONAL HEALTHCARE PARTNERS, INC.
Practice address
1173 Front St
San Diego, CA 92101-3904
Phone
(619) 610-1647
NPI assigned
Jul 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Mr. Nick Moreno
Title
Coo
Phone
(858) 354-0945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

1173 Front St
San Diego, CA 92101-3904

Mailing address

4365 Executive Dr Ste 540
San Diego, CA 92121-2128

National Provider Directory

National Provider Directory

Locations

4365 Executive Dr
Ste 540
San Diego, CA 92121

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1215855598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 EXECUTIVE DR STE 540",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 FRONT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013904",
            "telephone_number": "619-610-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIONAL HEALTHCARE PARTNERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "858-354-0945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 6, 2026; 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.