Organization Active NPI

YMCA

  • Student Health Clinic/Center
  • San Diego, CA
National Provider Identifier
1720333537
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
YMCA
Practice address
4080 Centre St
San Diego, CA 92103-2655
Phone
(619) 543-9491
NPI assigned
Jul 17, 2012
Last updated
Jul 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Mrs. Diana V Saa
Title
MFT Trainee
Phone
(619) 261-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

4080 Centre St
San Diego, CA 92103-2655

Mailing address

9743 Abbeyfield Rd
Santee, CA 92071-2606
Phone (619) 261-6630

National Provider Directory

National Provider Directory

Locations

4080 Centre St
San Diego, CA 92103
Phone (619) 543-9850

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1720333537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9743 ABBEYFIELD RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712606",
            "telephone_number": "619-261-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 CENTRE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032655",
            "telephone_number": "619-543-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "SAA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MFT TRAINEE",
        "authorized_official_telephone_number": "619-261-6630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "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 Jul 17, 2012; 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.