Active NPI
San Diego Youth Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Chula Vista, CA
National Provider Identifier
1730410853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- SAN DIEGO YOUTH SERVICES
- Practice address
- 968 Corte Maria Ave
Chula Vista, CA 91911-2219 - Phone
- (510) 565-6742
- NPI assigned
- Jan 29, 2010
- Last updated
- Jan 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James G Casson
- Title
- Child Care Worker / Rehabilitation
- Phone
- (858) 366-3199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
968 Corte Maria Ave
Chula Vista, CA 91911-2219
Mailing address
3255 Wing St
San Diego, CA 92110-4638
Phone (619) 221-8600
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Counselor
- Chula Vista, CA
- NPI 1700918844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264723200000",
"number": "1730410853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 WING ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104638",
"telephone_number": "619-221-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "968 CORTE MARIA AVE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112219",
"telephone_number": "510-565-6742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAN DIEGO YOUTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A",
"authorized_official_last_name": "CASSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CHILD CARE WORKER / REHABILITATION",
"authorized_official_telephone_number": "858-366-3199"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
- San Diego Radiology Medical Group, Inc.
- San Diego Spine & Sport, Inc (South Bay Spine & Sport)
- San Diego Treatment Services, LLC (Third Avenue Clinic)
- San Diego Vamc
- San Diego Youth Services
- Ferdinand San Jose
- Sandee C San Mateo, PMHNP
- Luis Daniel San Miguel, DNP, FNP
- Silvia San
- Karim Naser Sanajlih
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.