NPIMap

Organization Active NPI

The Palavra Tree, Inc.

  • Case Management Agency
  • San Diego, CA
National Provider Identifier
1841316379
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
THE PALAVRA TREE, INC.
Practice address
1212 S 43Rd St Ste C
San Diego, CA 92113-3454
Phone
(619) 263-7768
Fax
(619) 262-5040
NPI assigned
Mar 22, 2007
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Dr. Cleo Malone
Title
Executive Director
Phone
(619) 263-7768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1212 S 43Rd St Ste C
San Diego, CA 92113-3454

Mailing address

1212 S 43Rd St Ste C
San Diego, CA 92113-3454
Phone (619) 263-7768

National Provider Directory

National Provider Directory
Tax ID family
The Palavra Tree Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1212 S 43rd St
Ste C
San Diego, CA 92113
Phone (619) 263-7768

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1841316379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S 43RD ST STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921133454",
            "telephone_number": "619-263-7768",
            "fax_number": "619-262-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S 43RD ST STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921133454",
            "telephone_number": "619-263-7768",
            "fax_number": "619-262-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PALAVRA TREE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "CLEO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-263-7768",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 9, 2011; 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.