NPIMap

Organization Active NPI

County of San Diego

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1427101351
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF SAN DIEGO
Practice address
3853 Rosecrans Street
San Diego, CA 92110-3115
Phone
(619) 692-8200
Fax
(619) 542-4060
NPI assigned
Jan 22, 2007
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SAN DIEGOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Luke Bergmann, PHD
Title
Director, Behavioral Health Servic
Phone
(619) 563-2700

Specialties & licenses 1

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

Addresses

Primary practice location

3853 Rosecrans Street
San Diego, CA 92110-3115

Mailing address

3853 Rosecrans Street
San Diego, CA 92110-3115
Phone (619) 692-8200

Other identifiers 1

IdentifierTypeStateIssuer
37AYMedicaidCA

Other names 1

  • Emergency Psychiatric Unit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423001418 CA Part B Supplier - Clinic/Group Practice 8123014057 Receives reassigned benefits from 107 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Diego, CA; Santee, CA; El Cajon, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Edgemoor Geriatric Hospital

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1427101351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 ROSECRANS STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103115",
            "telephone_number": "619-692-8200",
            "fax_number": "619-542-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3853 ROSECRANS STREET",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103115",
            "telephone_number": "619-692-8200",
            "fax_number": "619-542-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SAN DIEGO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "BERGMANN",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "DIRECTOR, BEHAVIORAL HEALTH SERVIC",
        "authorized_official_telephone_number": "619-563-2700",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37AY",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Psychiatric Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Emergency Psychiatric Unit",
            "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 Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.