Fundamental Health

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

FUNDAMENTAL HEALTH

Practice address

501 W Broadway Ste 1540
San Diego, CA 92101-3770

Phone

(619) 728-5065

NPI assigned

Mar 5, 2025

Organization subpart

No

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

Authorized official

Name

Leigh-Ann Cardelfe

Title

Chief Clinical Officer

Phone

(619) 292-8072

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Christian Ulysses Hernandez

  • Case Manager/Care Coordinator
  • San Diego, CA
  • NPI 1992691687
  NPD
• Debon McGill, PSYD

  • Case Manager/Care Coordinator
  • San Diego, CA
  • NPI 1922159813
  NPD

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1225836133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W BROADWAY STE 1540",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013770",
            "telephone_number": "619-292-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W BROADWAY STE 1540",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013770",
            "telephone_number": "619-728-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "CARDELFE",
        "authorized_official_first_name": "LEIGH-ANN",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "619-292-8072"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in San Diego, CA
• Providers in San Diego, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.