NPIMap

Organization Active NPI

Community Research Foundation Inc

Doing business as Mission Valley IMPACT

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1871365684
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY RESEARCH FOUNDATION INC
Doing business as
Mission Valley IMPACT
Practice address
5333 Mission Center Rd Ste 105
San Diego, CA 92108-1347
Phone
(619) 997-4510
Fax
(619) 984-5440
NPI assigned
Oct 25, 2023
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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 Primary

Addresses

Primary practice location

5333 Mission Center Rd Ste 105
San Diego, CA 92108-1347

Mailing address

5333 Mission Center Rd Ste 105
San Diego, CA 92108-1347
Phone (619) 997-4510

Other names 1

  • Mission Valley IMPACT 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

995 Gateway Center Way
Ste 300
San Diego, CA 92102
Phone (619) 398-2168

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1871365684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081347",
            "telephone_number": "619-997-4510",
            "fax_number": "619-984-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081347",
            "telephone_number": "619-997-4510",
            "fax_number": "619-984-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESEARCH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Valley IMPACT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Valley IMPACT",
            "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 Jan 29, 2024; 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.