NPIMap

Organization Active NPI

Episcopal Community Services

  • Early Intervention Provider Agency
  • San Diego, CA
National Provider Identifier
1669629390
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EPISCOPAL COMMUNITY SERVICES
Practice address
1424 30TH St Ste a
San Diego, CA 92154-3417
Phone
(619) 565-2650
NPI assigned
Aug 25, 2008
Organization subpart
Yes
Parent organization
EPISCOPAL COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Stacie Lyn Perez
Title
Director of HCS
Phone
(619) 228-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1424 30TH St Ste a
San Diego, CA 92154-3417

Mailing address

401 Mile of Cars Way
Suite 350
National City, CA 91950
Phone (619) 228-2800

Other identifiers 1

IdentifierTypeStateIssuer
37ELOtherCADMH

Other names 1

  • Para Las Familias Other name

National Provider Directory

National Provider Directory
Tax ID family
Episcopal Community SVC4 organizations share this tax ID, including this one
Part of
Episcopal Community SVC

Other organizations with this tax ID 3

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

Locations

1424 30th St
Ste G
San Diego, CA 92154
Phone (347) 340-9355

1424 30th St
Ste A
San Diego, CA 92154
Phone (619) 248-1570

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1669629390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MILE OF CARS WAY",
            "address_2": "SUITE 350",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "91950",
            "telephone_number": "619-228-2800",
            "fax_number": "619-228-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 30TH ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921543417",
            "telephone_number": "619-565-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPISCOPAL COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EPISCOPAL COMMUNITY SERVICES",
        "enumeration_date": "2008-08-25",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "DIRECTOR OF HCS",
        "authorized_official_telephone_number": "619-228-2800"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMH",
            "identifier": "37EL",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Para Las Familias",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 17, 2022; 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.