NPIMap

Organization Active NPI

Pathfinders of San Diego

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
National Provider Identifier
1285138230
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
37006AN Issued in CA
Legal business name
PATHFINDERS OF SAN DIEGO
Practice address
2952 Cedar St
San Diego, CA 92102
Phone
(619) 239-7370
NPI assigned
Mar 22, 2018
Last updated
Sep 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Sean Edward VernerNPI 1689178634
Title
Executive Director
Phone
(619) 818-1738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 37006AN CA Primary

Addresses

Primary practice location

2952 Cedar St
San Diego, CA 92102

Mailing address

2621 University Ave
San Diego, CA 92104-2809
Phone (619) 666-7826

Other practice location 1

2980 Cedar St
San Diego, CA 92102-1599
Phone (619) 260-1605

Other practice location 2

1530 Dale St
San Diego, CA 92102-1519
Phone (619) 260-1605

Other identifiers 1

IdentifierTypeStateIssuer
=========MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Pathfinders of San Diego3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2621 University Ave
San Diego, CA 92104

2980 Cedar St
San Diego, CA 92102
Phone (619) 239-7370

Practitioners & affiliated clinicians

Practitioners 42

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 42

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1285138230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042809",
            "telephone_number": "619-666-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 CEDAR ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92102",
            "telephone_number": "619-239-7370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2980 Cedar St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921021599",
            "country_code": "US",
            "telephone_number": "619-260-1605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Dale St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921021519",
            "country_code": "US",
            "telephone_number": "619-260-1605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHFINDERS OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "VERNER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-818-1738"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "37006AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "CA"
        }
    ],
    "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 Sep 6, 2024; 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.