Active NPI
Sweetwater Union High School District
- Community/Behavioral Health Agency
- San Diego, CA
National Provider Identifier
1508319658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SWEETWATER UNION HIGH SCHOOL DISTRICT
- Practice address
- 1051 Picador Blvd
San Diego, CA 92154-3548 - Phone
- (619) 407-4933
- NPI assigned
- Jul 25, 2016
- Organization subpart
- Yes
- Parent organization
- SWEETWATER UNION HIGH SCHOOL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. R. Vernon Moore, ED.D.
- Title
- Chief of Educational Equity
- Phone
- (619) 407-4933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1051 Picador Blvd
San Diego, CA 92154-3548
Mailing address
1130 5TH Ave
Chula Vista, CA 91911-2812
Phone (619) 407-4920
Other names 1
- SUHSD Mental Health Resource Center
National Provider Directory
National Provider Directory- Tax ID family
- Sweetwater Union High School District
- Part of
- Sweetwater Union High School District
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1114381969
-
- Local Education Agency (LEA)
- Chula Vista, CA
- NPI 1952458242
Locations
1051 Picador Blvd
San Diego, CA 92154
Phone (619) 407-4933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668124800000",
"number": "1508319658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 5TH AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112812",
"telephone_number": "619-407-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 PICADOR BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543548",
"telephone_number": "619-407-4933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEETWATER UNION HIGH SCHOOL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SWEETWATER UNION HIGH SCHOOL DISTRICT",
"enumeration_date": "2016-07-25",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "R. VERNON",
"authorized_official_title_or_position": "CHIEF OF EDUCATIONAL EQUITY",
"authorized_official_telephone_number": "619-407-4933",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SUHSD Mental Health Resource Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "SUHSD Mental Health Resource Center",
"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 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.