Seniors of San Diego

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

2010023464 Issued in CA

Legal business name

SENIORS OF SAN DIEGO

Practice address

5019 Surfside Dr
San Diego, CA 92154-8449

Phone

(619) 207-0057

NPI assigned

Oct 26, 2010

Last updated

Oct 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amelia PerialesNPI 1154291573

Title

Director of Patient Care

Phone

(619) 392-9331

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Amelia Periales

  • Attendant Care Provider
  • National City, CA
  • NPI 1154291573
  Authorized official Same address or phone

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1700186616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 SURFSIDE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921548449",
            "telephone_number": "619-207-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 SURFSIDE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921548449",
            "telephone_number": "619-207-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORS OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "PERIALES",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE",
        "authorized_official_telephone_number": "619-392-9331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "2010023464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Care Consulting SD LLC (ElderWell Integrated Care)
• Senior Emergency Alert System, Inc (Seas)
• Senior Living Norwoods Hacienda
• Senior Medical Associates, Inc.
• Andrea Melissa Senior, BA
• Robert Patrick Senko, O.D.
• Michael James Sensenbaugh, DPT
• Senta Clinic, Inc (Senta Medical Clinic)
• Senta Neurosurgery Inc
• Sentia Biosciences LLC

• Health Maintenance Organization in San Diego, CA
• Providers in San Diego, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.