NPIMap

Organization Active NPI

Jewish Family Service of San Diego

  • Voluntary or Charitable Agency
  • San Diego, CA
National Provider Identifier
1760477467
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
JEWISH FAMILY SERVICE OF SAN DIEGO
Practice address
8804 Balboa Ave
San Diego, CA 92123-1506
Phone
(858) 637-3000
Fax
(858) 637-3260
NPI assigned
Sep 19, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Jill Spitzer, LCSW
Title
Chief Executive Officer
Phone
(858) 637-3000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X CA Primary
Home Delivered Meals 332U00000X
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

8804 Balboa Ave
San Diego, CA 92123-1506

Mailing address

8804 Balboa Ave
San Diego, CA 92123-1506
Phone (858) 637-3000

Other identifiers 4

IdentifierTypeStateIssuer
CSWG00050MedicaidCA
GPS001141MedicaidCA
CSWG00051MedicaidCA
GPS001140MedicaidCA

Other names 1

  • Jewish Family Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070214000373 CA Part B Supplier - Clinic/Group Practice 0143202226 Receives reassigned benefits from 3 practitioners
Practice locations: Encinitas, CA; San Diego, CA

National Provider Directory

National Provider Directory

Locations

16486 Bernardo Center Dr
Ste 268
San Diego, CA 92128
Phone (858) 674-6441

16776 Bernardo Center Dr
Ste 206
San Diego, CA 92128
Phone (858) 674-6441

3715 6th Ave
San Diego, CA 92103
Phone (619) 291-0473

8804 Balboa Ave
San Diego, CA 92123
Phone (858) 637-3000

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760477467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8804 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231506",
            "telephone_number": "858-637-3000",
            "fax_number": "858-637-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8804 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231506",
            "telephone_number": "858-637-3000",
            "fax_number": "858-637-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "SPITZER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "858-637-3000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSWG00050",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPS001141",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CSWG00051",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPS001140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jewish Family Service",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jewish Family Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.