Active NPI
County of San Diego
- Prison Health Clinic/Center
- San Diego, CA
National Provider Identifier
1366279259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prison Health Clinic/Center
- Legal business name
- COUNTY OF SAN DIEGO
- Practice address
- 2801 Meadow Lark Dr
San Diego, CA 92123-2709 - Phone
- (858) 298-6851
- NPI assigned
- Sep 16, 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
- Tamika Nelson
- Title
- Chief Probation Officer
- Phone
- (858) 514-3148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prison Health Clinic/Center | 261QP2400X | Primary |
Addresses
Primary practice location
2801 Meadow Lark Dr
San Diego, CA 92123-2709
Mailing address
9444 Balboa Ave Ste 500
San Diego, CA 92123-4393
National Provider Directory
National Provider DirectoryLocations
9444 Balboa Ave
Ste 500
San Diego, CA 92123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726444800000",
"number": "1366279259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9444 BALBOA AVE STE 500",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 MEADOW LARK DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232709",
"telephone_number": "858-298-6851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF SAN DIEGO",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "TAMIKA",
"authorized_official_title_or_position": "CHIEF PROBATION OFFICER",
"authorized_official_telephone_number": "858-514-3148"
},
"taxonomies": [
{
"code": "261QP2400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Prison Health",
"state": null,
"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 Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.