Organization Active NPI

Zeiders Enterprises

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1700160470
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC34604 Issued in CA
Legal business name
ZEIDERS ENTERPRISES
Practice address
140 Sylvester Rd BLDG 212
San Diego, CA 92106-3521
Phone
(619) 553-0367
Fax
(619) 553-7506
NPI assigned
Sep 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. Jeffrey Erkenbeck, PH.D.
Title
Clinical Supervisor
Phone
(619) 556-8817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFC34604 CA Primary

Addresses

Primary practice location

140 Sylvester Rd BLDG 212
San Diego, CA 92106-3521

Mailing address

3803 Camino Lindo
San Diego, CA 92122-1917
Phone (858) 678-0449

National Provider Directory

National Provider Directory

Locations

140 Sylvester Rd
Bldg 212
San Diego, CA 92106
Phone (619) 553-0367

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": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1700160470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 CAMINO LINDO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221917",
            "telephone_number": "858-678-0449",
            "fax_number": "619-553-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SYLVESTER RD BLDG 212",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921063521",
            "telephone_number": "619-553-0367",
            "fax_number": "619-553-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEIDERS ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "ERKENBECK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "619-556-8817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC34604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 29, 2011; 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.