Active NPI
Paxina Health
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1295491686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PAXINA HEALTH
- Practice address
- 12625 High Bluff Dr Ste 111
San Diego, CA 92130-2053 - Phone
- (619) 566-1002
- Fax
- (619) 566-1003
- NPI assigned
- Nov 10, 2021
- Last updated
- Oct 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd B Young, MD
- Title
- Owner
- Phone
- (619) 566-1002
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
12625 High Bluff Dr Ste 111
San Diego, CA 92130-2053
Mailing address
PO Box 1770
La Mesa, CA 91944-1770
Phone (619) 566-1002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
169 Saxony Rd
Ste 205
Encinitas, CA 92024
Phone (619) 566-1002
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Psychiatry Physician
- San Diego, CA
- NPI 1275672206
-
- Psychiatry Physician
- San Diego, CA
- NPI 1689607749
-
- Psychiatric/Mental Health Nurse Practitioner
- San Diego, CA
- NPI 1780334110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729641600000",
"number": "1295491686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1770",
"city": "LA MESA",
"state": "CA",
"postal_code": "919441770",
"telephone_number": "619-566-1002",
"fax_number": "619-566-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12625 HIGH BLUFF DR STE 111",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302053",
"telephone_number": "619-566-1002",
"fax_number": "619-566-1003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAXINA HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-10",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-566-1002",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"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 Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.