NPIMap

Organization Active NPI

San Diego Treatment Services

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1831235837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3707 Issued in CA
Legal business name
SAN DIEGO TREATMENT SERVICES
Practice address
3940 Home Ave
San Diego, CA 92105-5952
Phone
(619) 262-8000
Fax
(619) 266-7405
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bobby W Stearns, MSW
Title
Clinic Director
Phone
(619) 519-2458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3707 CA Primary

Addresses

Primary practice location

3940 Home Ave
San Diego, CA 92105-5952

Mailing address

3940 Home Ave
San Diego, CA 92105-5952
Phone (619) 262-8000

Other names 1

  • Home Avenue Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Diego Treatment Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3940 Home Ave
San Diego, CA 92105
Phone (619) 262-8000

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831235837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 HOME AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055952",
            "telephone_number": "619-262-8000",
            "fax_number": "619-266-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 HOME AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055952",
            "telephone_number": "619-262-8000",
            "fax_number": "619-266-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEARNS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "619-519-2458",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "3707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Avenue Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.