San Diego Psychiatric Services Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SAN DIEGO PSYCHIATRIC SERVICES INC

Practice address

2175 Condor Dr Unit 53
Chula Vista, CA 91915-2904

Phone

(805) 284-6497

NPI assigned

Aug 22, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Pedro D Guimaraes, MDNPI 1285624155

Title

Owner

Phone

(805) 305-4726

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Deoliveira Guimaraes, M.D.

  • Psychiatry Physician
  • San Luis Obispo, CA
  • NPI 1285624155

  Psychiatry

  NPD Authorized official
• Abera Yosef Tesfaye

  • Psychiatric/Mental Health Nurse Practitioner
  • Chula Vista, CA
  • NPI 1396339727
  NPD

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1609650563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3405",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922613405",
            "telephone_number": "805-305-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 CONDOR DR UNIT 53",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152904",
            "telephone_number": "805-284-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO PSYCHIATRIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "GUIMARAES",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-305-4726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• San Diego Youth Services

• All providers in Chula Vista, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.