NPIMap

Organization Active NPI

County O San Diego

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1396898474
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY O SAN DIEGO
Practice address
2901 Meadow Lark Dr
San Diego, CA 92123-2711
Phone
(619) 577-0231
Fax
(858) 694-4492
NPI assigned
Jan 19, 2007
Organization subpart
Yes
Parent organization
COUNTY OF SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Mr. Luke Bergmann, PHD
Title
Director, Behavior Health Services
Phone
(619) 563-2700

Specialties & licenses 1

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

Addresses

Primary practice location

2901 Meadow Lark Dr
San Diego, CA 92123-2711

Mailing address

2901 Meadow Lark Dr
San Diego, CA 92123-2711
Phone (858) 694-4680

Other identifiers 1

IdentifierTypeStateIssuer
3793MedicaidCA

Other names 2

  • Juvenile Forensic Services Doing business as
  • Next Move Southeastern LWC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edgemoor Geriatric Hospital101 organizations share this tax ID, including this one
Part of
Edgemoor Geriatric Hospital

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5101 Market St
Ste 2100
San Diego, CA 92114
Phone (858) 351-6400

2901 Meadow Lark Dr
San Diego, CA 92123
Phone (619) 221-8600

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1396898474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 MEADOW LARK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232711",
            "telephone_number": "858-694-4680",
            "fax_number": "858-694-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MEADOW LARK DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232711",
            "telephone_number": "619-577-0231",
            "fax_number": "858-694-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY O SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SAN DIEGO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "BERGMANN",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "DIRECTOR, BEHAVIOR HEALTH SERVICES",
        "authorized_official_telephone_number": "619-563-2700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3793",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juvenile Forensic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Next Move Southeastern LWC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2025; 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.