San Diego Brain Injury Foundation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

372002856 Issued in CA

Legal business name

SAN DIEGO BRAIN INJURY FOUNDATION

Practice address

2033 Oro Verde Rd
Escondido, CA 92027-4810

Phone

(760) 480-7468

Fax

(760) 741-6073

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Susan Hansen

Title

Coo

Phone

(619) 294-6541

Specialties & licenses 1

Addresses

Other names 1

• Howard House Other name

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1740665108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84601",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921384601",
            "telephone_number": "619-294-6541",
            "fax_number": "619-294-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 ORO VERDE RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920274810",
            "telephone_number": "760-480-7468",
            "fax_number": "760-741-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO BRAIN INJURY FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "619-294-6541"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "372002856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Seyhoon Samandari-Gupta, PHARM D
• Melanie Samaniego
• Makenna Sammons
• William Samuel, M.D.
• Rebecca A Samuels, D.O.
• San Diego Center for Children (SDCC Ffast Spot)
• San Diego Center for Children
• San Diego Diagnostic Radiology Medical Group, Inc.
• San Diego Diagnostic Radiology Medical Group, Inc.
• San Diego Diagnostic Radiology Medical Group, Inc.

• Assisted Living Facility in Escondido, CA
• Providers in Escondido, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.