Organization Active NPI

San Diego Unified School District

Doing business as Riley Outpatient

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1255644571
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SAN DIEGO UNIFIED SCHOOL DISTRICT
Doing business as
Riley Outpatient
Practice address
5650 Mount Ackerly Dr
San Diego, CA 92111-4016
Phone
(858) 496-8205
NPI assigned
Jul 15, 2010
Organization subpart
Yes
Parent organization
SAN DIEGO UNIFIED SCHOOL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Authorized official

Name
Aidee Angulo, LCSW
Title
Program Manager
Phone
(858) 573-2227

Specialties & licenses 1

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

Addresses

Primary practice location

5650 Mount Ackerly Dr
San Diego, CA 92111-4016

Mailing address

5650 Mount Ackerly Dr
San Diego, CA 92111-4016
Phone (858) 496-8205

Other names 1

  • Riley Outpatient Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Diego Unified School District Mental Health Resource Center12 organizations share this tax ID, including this one
Part of
San Diego Unified School District Mental Health Resource Center

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1255644571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 MOUNT ACKERLY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114016",
            "telephone_number": "858-496-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 MOUNT ACKERLY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921114016",
            "telephone_number": "858-496-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN DIEGO UNIFIED SCHOOL DISTRICT",
        "enumeration_date": "2010-07-15",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "ANGULO",
        "authorized_official_first_name": "AIDEE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "858-573-2227",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riley Outpatient",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2016; 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.