NPIMap

Organization Active NPI

Upac Teen Recovery Center

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1508588476
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPAC TEEN RECOVERY CENTER
Practice address
500 30TH St
San Diego, CA 92102-3090
Phone
(619) 704-1020
NPI assigned
Sep 16, 2022
Organization subpart
Yes
Parent organization
UNION OF PAN ASIAN COMMUNITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Sarah Ferry
Title
Chief Finance Officer
Phone
(619) 232-6454

Specialties & licenses 1

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

Addresses

Primary practice location

500 30TH St
San Diego, CA 92102-3090

Mailing address

3288 El Cajon Blvd Ste 13
San Diego, CA 92104-1430
Phone (619) 521-5720

Other names 2

  • King-Chavez Community High School Other name
  • San Diego Community High Other name

National Provider Directory

National Provider Directory
Tax ID family
Upac Teen Recovery Center25 organizations share this tax ID, including this one
Part of
Upac Teen Recovery Center

Other organizations with this tax ID 24

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

View all 24

Locations

201 A St
San Diego, CA 92101

Practitioners & affiliated clinicians

Practitioners 2

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": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1508588476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 EL CAJON BLVD STE 13",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041430",
            "telephone_number": "619-521-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 30TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023090",
            "telephone_number": "619-704-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPAC TEEN RECOVERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION OF PAN ASIAN COMMUNITIES",
        "enumeration_date": "2022-09-16",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "FERRY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "619-232-6454"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King-Chavez Community High School",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "San Diego Community High",
            "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 Jul 23, 2026; 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.