Phases Integration Program, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PHASES INTEGRATION PROGRAM, LLC

Practice address

810 Emerald St
#101
San Diego, CA 92109-2712

Phone

(858) 345-7422

NPI assigned

Jul 25, 2016

Organization subpart

No

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

Authorized official

Name

Shana Shaterian

Title

Owner

Phone

(858) 345-7422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1659824712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13424 TIVERTON RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301021",
            "telephone_number": "858-345-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 EMERALD ST",
            "address_2": "#101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092712",
            "telephone_number": "858-345-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASES INTEGRATION PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "SHATERIAN",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-345-7422"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pharmaca Integrative Pharmacy
• Pharmacy4Humanity
• Pharmerica Drug Systems LLC
• Maryrose Pharo, PTA
• Kryschiana Pharr
• Amratha Phatak
• Carolyn H Phelan, OTRL CHT
• Kaitlin Phelan
• Blanca Estela Phelps, ASW
• Christine Rose Phelps, LCSW

• Case Management Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.