NPIMap

Organization Active NPI

Community Research Foundation Inc

Doing business as Healthy Connect San Diego

  • Case Manager/Care Coordinator
  • San Diego, CA
National Provider Identifier
1679158125
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
COMMUNITY RESEARCH FOUNDATION INC
Doing business as
Healthy Connect San Diego
Practice address
1202 Morena Blvd Ste 204
San Diego, CA 92110-3843
Phone
(619) 507-9333
Fax
(619) 467-4595
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 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
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

1202 Morena Blvd Ste 204
San Diego, CA 92110-3843

Mailing address

1202 Morena Blvd Ste 100
San Diego, CA 92110-3842
Phone (619) 275-0822

Other names 1

  • Healthy Connect San Diego 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

1202 Morena Blvd
Ste 204
San Diego, CA 92110
Phone (619) 398-3261

Practitioners & affiliated clinicians

Practitioners 3

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": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1679158125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MORENA BLVD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103842",
            "telephone_number": "619-275-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MORENA BLVD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921103843",
            "telephone_number": "619-507-9333",
            "fax_number": "619-467-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESEARCH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "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": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Connect 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 Mar 16, 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.