Organization Active NPI

Activate Healthcare - Unite Here

Doing business as Activate Healthcare

  • Primary Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1518424167
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ACTIVATE HEALTHCARE - UNITE HERE
Doing business as
Activate Healthcare
Practice address
2952 Market St
San Diego, CA 92102-3241
Phone
(619) 798-4613
Fax
(619) 798-4614
NPI assigned
Mar 1, 2019
Last updated
Mar 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Debra Geihsler
Title
Principal
Phone
(773) 697-3144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2952 Market St
San Diego, CA 92102-3241

Mailing address

2010 N Damen Ave Unit F
Chicago, IL 60647-3286
Phone (773) 697-3144

Other names 1

  • Activate Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1518424167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N DAMEN AVE UNIT F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606473286",
            "telephone_number": "773-697-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 MARKET ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023241",
            "telephone_number": "619-798-4613",
            "fax_number": "619-798-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVATE HEALTHCARE - UNITE HERE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "GEIHSLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "773-697-3144"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Activate Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 1, 2019; 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.