NPIMap

Organization Active NPI

San Diego Youth Services

  • Foster Care Agency
  • San Diego, CA
National Provider Identifier
1407012552
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
370602725 Issued in CA
Legal business name
SAN DIEGO YOUTH SERVICES
Practice address
3255 Wing St
Ste 500
San Diego, CA 92110-4638
Phone
(619) 221-8610
Fax
(619) 221-8619
NPI assigned
Jul 29, 2008
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Walter Philips
Title
Chief Executive Officer
Phone
(619) 221-8601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 370602725 CA Primary

Addresses

Primary practice location

3255 Wing St
Ste 500
San Diego, CA 92110-4638

Mailing address

3255 Wing St
Ste 500
San Diego, CA 92110-4638
Phone (619) 221-8600

Other names 1

  • Foster Care MTFC Other name

National Provider Directory

National Provider Directory
Tax ID family
San Diego Youth Services16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1407012552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 WING ST",
            "address_2": "STE 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104638",
            "telephone_number": "619-221-8600",
            "fax_number": "619-221-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 WING ST",
            "address_2": "STE 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104638",
            "telephone_number": "619-221-8610",
            "fax_number": "619-221-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "PHILIPS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-221-8601"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CA",
            "license": "370602725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foster Care MTFC",
            "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 Apr 4, 2013; 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.