Organization Active NPI

Mama'S Kitchen

  • Case Management Agency
  • San Diego, CA
National Provider Identifier
1346723434
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MAMA'S KITCHEN
Practice address
3960 Home Ave
San Diego, CA 92105-5925
Phone
(619) 233-6262
NPI assigned
Sep 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Authorized official

Name
Mr. Alberto Cortes
Title
Executive Director
Phone
(619) 233-6262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Home Delivered Meals 332U00000X

Addresses

Primary practice location

3960 Home Ave
San Diego, CA 92105-5925

Mailing address

3960 Home Ave
San Diego, CA 92105-5925
Phone (619) 233-6262

National Provider Directory

National Provider Directory

Locations

3960 Home Ave
San Diego, CA 92105
Phone (619) 233-6262

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1346723434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 HOME AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055925",
            "telephone_number": "619-233-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 HOME AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055925",
            "telephone_number": "619-233-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA'S KITCHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-233-6262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 13, 2018; 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.