NPIMap

Organization Active NPI

Planned Parenthood Pacific Southwest

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1316148125
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D1062703 Issued in CA
Legal business name
PLANNED PARENTHOOD PACIFIC SOUTHWEST
Practice address
2017 1St Ave Ste 300
San Diego, CA 92101-2033
Phone
(619) 881-4516
Fax
(619) 291-6855
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Theresa Gonzales
Title
Director
Phone
(619) 881-4516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D1062703 CA Primary

Addresses

Primary practice location

2017 1St Ave Ste 300
San Diego, CA 92101-2033

Mailing address

1075 Camino del Rio S
San Diego, CA 92108-3538
Phone (619) 881-4516

Other identifiers 1

IdentifierTypeStateIssuer
LAB62703FMedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0569189Planned Parenthood2017 First Ave, Ste 100, San Diego, CA 92101ComplianceFeb 9, 2027
05D1062703Planned Parenthood of the Pacific2017 1St Ave, Ste 300, San Diego, CA 92101ComplianceApr 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of the Pacific Southwest23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1316148125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CAMINO DEL RIO S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083538",
            "telephone_number": "619-881-4516",
            "fax_number": "619-291-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 1ST AVE STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012033",
            "telephone_number": "619-881-4516",
            "fax_number": "619-291-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD PACIFIC SOUTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-881-4516"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1062703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB62703F",
            "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 Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.