Active NPI
AIDS Healthcare Foundation
- Clinic/Center
- San Diego, CA
National Provider Identifier
1881024669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- AIDS HEALTHCARE FOUNDATION
- Practice address
- 3580 5TH Ave
San Diego, CA 92103-5017 - Phone
- (323) 436-5019
- NPI assigned
- Nov 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lyle Honig Mojica
- Title
- Cfo
- Phone
- (323) 860-5305
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
3580 5TH Ave
San Diego, CA 92103-5017
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other names 1
- AHF
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040301000670 | CA | Part B Supplier - Clinic/Group Practice | 2668369109 |
Receives reassigned benefits from 58 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Oakland, CA; Redondo Beach, CA; Riverside, CA; San Diego, CA; San Francisco, CA; Sherman Oaks, CA; W Hollywood, CA; Whittier, CA… |
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Health Service Clinic/Center
- Redondo Beach, CA
- NPI 1427032903
O20040301000670
-
- Infectious Disease Physician
- San Francisco, CA
- NPI 1467078063
O20040301000670
-
- Health Service Clinic/Center
- Lancaster, CA
- NPI 1497738397
O20040301000670
-
- Health Service Clinic/Center
- Sherman Oaks, CA
- NPI 1598740177
O20040301000670
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1881024669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "833-241-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 5TH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035017",
"telephone_number": "323-436-5019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIDS HEALTHCARE FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-15",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "HONIG MOJICA",
"authorized_official_first_name": "LYLE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "323-860-5305"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AHF",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AHF",
"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 Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.