Core San Diego

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CORE SAN DIEGO

Practice address

1675 Morena Blvd
San Diego, CA 92110-3703

Phone

(619) 275-8000

Fax

(619) 275-8004

NPI assigned

Oct 14, 2009

Organization subpart

Yes

Parent organization

TELECARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Marshall Langfeld

Title

VP Cfo

Phone

(510) 337-7950

Specialties & licenses 1

Addresses

Part of

Telecare Soar

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1659606200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 MARINA VILLAGE PKWY",
            "address_2": "SUITE 100",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016427",
            "telephone_number": "510-337-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 MORENA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103703",
            "telephone_number": "619-275-8000",
            "fax_number": "619-275-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE SAN DIEGO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TELECARE CORPORATION",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "LANGFELD",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "510-337-7950"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Anthony Cordova
• Cordx, Inc.
• Core Health - Spine and Sports Care Apc
• Core Intravenous Solutions Inc
• Core Medical Inc
• Core to Floor Physical Therapy PC
• Corene J. Poelman, D.D.S., M.S., Apc
• Christy Jill Corey, RADT-I
• Cindy C Corey, PSYD
• Fred A Corey, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.