Organization Active NPI

PA Enterprises, Inc.

  • Case Management Agency
  • Lemon Grove, CA
National Provider Identifier
1679392898
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PA ENTERPRISES, INC.
Practice address
7931 Broadway
Lemon Grove, CA 91945-1809
Phone
(760) 828-7002
NPI assigned
Oct 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Authorized official

Name
Mr. Reginald WashingtonNPI 1821553850
Title
Ceo
Phone
(760) 828-7002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

7931 Broadway
Lemon Grove, CA 91945-1809

Mailing address

PO Box 261134
San Diego, CA 92196-1134

National Provider Directory

National Provider Directory

Locations

7931 Broadway
Lemon Grove, CA 91945
Phone (760) 828-7002

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1679392898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 261134",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921961134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7931 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451809",
            "telephone_number": "760-828-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-828-7002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.