Active NPI
Pathfinders of San Diego
- Substance Abuse Rehabilitation Facility
- San Diego, CA
National Provider Identifier
1629839972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- PATHFINDERS OF SAN DIEGO
- Practice address
- 2952 Cedar St
San Diego, CA 92102-9210 - Phone
- (619) 239-7370
- NPI assigned
- Jan 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sean Verner
- Title
- Executive Director
- Phone
- (619) 818-1738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
2952 Cedar St
San Diego, CA 92102-9210
Mailing address
2621 University Ave
San Diego, CA 92104-2809
Phone (619) 260-1605
Other names 1
- Pathfinders of San Diego
National Provider Directory
National Provider Directory- Tax ID family
- Pathfinders of San Diego
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- San Diego, CA
- NPI 1285138230
-
- Substance Abuse Rehabilitation Facility
- San Diego, CA
- NPI 1982108841
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
- NPI 1154295335
-
- Peer Specialist
- San Diego, CA
- NPI 1386450096
-
- Peer Specialist
- San Diego, CA
- NPI 1679494231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1629839972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 UNIVERSITY AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921042809",
"telephone_number": "619-260-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2952 CEDAR ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921029210",
"telephone_number": "619-239-7370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHFINDERS OF SAN DIEGO",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-23",
"last_updated": "2024-01-23",
"certification_date": "2024-01-18",
"status": "A",
"authorized_official_last_name": "VERNER",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "619-818-1738"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pathfinders of San Diego",
"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 Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.