NPIMap

Organization Active NPI

Community Research Foundation, Inc.

Doing business as Step Forward South

  • Community/Behavioral Health Agency
  • Chula Vista, CA
National Provider Identifier
1649794363
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY RESEARCH FOUNDATION, INC.
Doing business as
Step Forward South
Practice address
1105 Broadway Ste 207
Chula Vista, CA 91911-2767
Phone
(619) 425-5609
NPI assigned
Aug 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Dr. Jack FarmerNPI 1972671899
Title
Cao
Phone
(619) 275-0822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1105 Broadway Ste 207
Chula Vista, CA 91911-2767

Mailing address

1105 Broadway Ste 207
Chula Vista, CA 91911-2767

Other identifiers 1

IdentifierTypeStateIssuer
37RPMedicaidCA

Other names 1

  • Step Forward South Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Douglas Young Cli41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

Locations

1105 Broadway
Ste 207
Chula Vista, CA 91911
Phone (619) 425-5609

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1649794363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BROADWAY STE 207",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BROADWAY STE 207",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112767",
            "telephone_number": "619-425-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESEARCH FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "619-275-0822",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37RP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Step Forward South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.