Organization Active NPI

YMCA of San Diego County

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1306979406
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
37GS Issued in CA
Legal business name
YMCA OF SAN DIEGO COUNTY
Practice address
4451 30TH St
San Diego, CA 92116-4232
Phone
(619) 914-2391
Fax
(619) 281-8324
NPI assigned
Mar 14, 2007
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Mrs. Katherine Demmler
Title
Associate Executive Director
Phone
(619) 281-8313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 37GS CA Primary

Addresses

Primary practice location

4451 30TH St
San Diego, CA 92116-4232

Mailing address

4451 30TH St
San Diego, CA 92116-4232
Phone (619) 281-8313

Other identifiers 1

IdentifierTypeStateIssuer
37GSOtherCAMEDICAL

Other names 1

  • TIDES Other name

National Provider Directory

National Provider Directory
Tax ID family
YMCA of San Diego County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4394 30th St
San Diego, CA 92104
Phone (619) 281-8313

4451 30th St
San Diego, CA 92116
Phone (619) 281-8313

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1306979406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164232",
            "telephone_number": "619-281-8313",
            "fax_number": "619-281-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164232",
            "telephone_number": "619-914-2391",
            "fax_number": "619-281-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF SAN DIEGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "DEMMLER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-281-8313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "37GS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "37GS",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIDES",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TIDES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 9, 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.