Organization Active NPI

Community Research Foundation, Inc.

  • Community/Behavioral Health Agency
  • Chula Vista, CA
National Provider Identifier
1790808103
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3709 Issued in CA
Legal business name
COMMUNITY RESEARCH FOUNDATION, INC.
Practice address
1196 Third Ave
Chula Vista, CA 91911
Phone
(619) 427-4661
Fax
(619) 426-7849
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Authorized official

Name
Mr. Bob Marchetti
Title
Cfo
Phone
(619) 275-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3709 CA Primary

Addresses

Primary practice location

1196 Third Ave
Chula Vista, CA 91911

Mailing address

1196 Third Ave
Chula Vista, CA 91911-3131
Phone (619) 427-4661

Other identifiers 1

IdentifierTypeStateIssuer
3709MedicaidCA

Other names 1

  • South Bay Guidance Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Christopher R Vogt LCSW41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

1196 Third Ave
Chula Vista, CA 91911
Phone (619) 382-6393

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1790808103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1196 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113131",
            "telephone_number": "619-427-4661",
            "fax_number": "619-426-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1196 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911",
            "telephone_number": "619-427-4661",
            "fax_number": "619-426-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESEARCH FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "MARCHETTI",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-275-0822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "3709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3709",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Guidance Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Bay Guidance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.