Ian Foster Snider, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95023071 Issued in CA

Practice address

5555 Reservoir Dr Ste 204-a
San Diego, CA 92120-5134

Phone

(619) 822-1800

Fax

(619) 839-3872

NPI assigned

Apr 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Research Foundation IncGroup PAC ID 6800825332, 63 clinicians

Mental Health Systems IncGroup PAC ID 8628019320, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Research Foundation Inc

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1952328700
  Medicare reassignment Care Compare group NPD
• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1760431670
  Medicare reassignment Care Compare group NPD
• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1720745169
  NPD
• Community Research Foundation Inc

  dba Jane Westin Center

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1598988180
  NPD (past)
• Mental Health Systems, Inc.

  dba Alianza Wellness Center

  • Community Health Clinic/Center
  • San Diego, CA
  • NPI 1740846542
  NPD (past)
• Sun Valley Behavioral Medical Center Inc

  • Psychiatry Physician
  • Imperial, CA
  • NPI 1447279476
  NPD (past)

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1871174748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4175 WABASH AVE UNIT 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042140",
            "telephone_number": "310-922-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 204-A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205134",
            "telephone_number": "619-822-1800",
            "fax_number": "619-839-3872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 S Tremont St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920545309",
            "country_code": "US",
            "telephone_number": "760-439-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 9th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921015504",
            "country_code": "US",
            "telephone_number": "619-235-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "892 27th St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921541444",
            "country_code": "US",
            "telephone_number": "619-575-4687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2417 Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Imperial",
            "state": "CA",
            "postal_code": "922519401",
            "country_code": "US",
            "telephone_number": "760-355-0161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "IAN",
        "middle_name": "FOSTER",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95119190",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95023071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Aimee Snell
• Alana Christine Snelling
• SNF Properties, Inc. (Emmanuel Convalescent San Diego)
• SNH Cal Tenant LLC (Remington Club Health Center)
• Christina Anne Helena Snider
• Janet Snider, RN
• John W. Snider, MD
• Joseph Snider, DDS
• Mark Andrew Snider, D.O.
• Stephen Nicholas Snider

• Psychiatric/Mental Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.