NPIMap

Organization Active NPI

Crash, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Diego, CA
National Provider Identifier
1316269780
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
370024NN Issued in CA
Legal business name
CRASH, INC.
Practice address
220 Euclid Ave
Suite 120
San Diego, CA 92114-3644
Phone
(619) 263-6663
Fax
(619) 263-0655
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Authorized official

Name
Mary Himmelberger
Title
Executive Director
Phone
(619) 297-5131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 370024NN CA Primary

Addresses

Primary practice location

220 Euclid Ave
Suite 120
San Diego, CA 92114-3644

Mailing address

1081 Camino del Rio S
Suite 129
San Diego, CA 92108-3542
Phone (619) 297-5131

Other identifiers 1

IdentifierTypeStateIssuer
8755OtherCASTATE OF CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS

Other names 1

  • Community Resources and Self Help Other name

National Provider Directory

National Provider Directory
Tax ID family
Crash Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

220 Euclid Ave
Ste 120
San Diego, CA 92114
Phone (619) 263-6663

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1316269780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 CAMINO DEL RIO S",
            "address_2": "SUITE 129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083542",
            "telephone_number": "619-297-5131",
            "fax_number": "619-296-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 EUCLID AVE",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921143644",
            "telephone_number": "619-263-6663",
            "fax_number": "619-263-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRASH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "HIMMELBERGER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-297-5131"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "370024NN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS",
            "identifier": "8755",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Resources and Self Help",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Community Resources and Self Help",
            "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 Mar 13, 2019; 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.