Organization Active NPI

North County Lifeline

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1508525312
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NORTH COUNTY LIFELINE
Practice address
4180 Ruffin Rd Ste 295
San Diego, CA 92123-1834
Phone
(760) 726-4900
NPI assigned
Dec 9, 2021
Organization subpart
Yes
Parent organization
NORTH COUNTY LIFELINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Ashley Moffett, ESQ.
Title
Compliance Officer
Phone
(760) 842-6265

Specialties & licenses 1

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

Addresses

Primary practice location

4180 Ruffin Rd Ste 295
San Diego, CA 92123-1834

Mailing address

3142 Vista Way Ste 400
Oceanside, CA 92056-3629
Phone (760) 726-4900

Other names 1

  • Neighborhood Navigators Other name

National Provider Directory

National Provider Directory
Tax ID family
North County Lifeline Inc20 organizations share this tax ID, including this one
Part of
North County Lifeline Inc

Other organizations with this tax ID 19

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

View all 19

Locations

3142 Vista Way
Ste 400
Oceanside, CA 92056
Phone (760) 842-6201

4180 Ruffin Rd
Ste 295
San Diego, CA 92123
Phone (760) 509-3369

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1508525312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 VISTA WAY STE 400",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563629",
            "telephone_number": "760-726-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 RUFFIN RD STE 295",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231834",
            "telephone_number": "760-726-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY LIFELINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH COUNTY LIFELINE",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "MOFFETT",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "760-842-6265",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Navigators",
            "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 Dec 9, 2021; 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.