Organization Active NPI

Parkinson's Association of San Diego

  • Psychologist
  • San Diego, CA
National Provider Identifier
1891127049
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PARKINSON'S ASSOCIATION OF SAN DIEGO
Practice address
8555 Aero Dr Ste 308
San Diego, CA 92123-1745
Phone
(858) 273-6763
Fax
(858) 273-6764
NPI assigned
Jul 30, 2013
Last updated
Sep 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Charles D Carey
Title
2ND V.P. Pasd
Phone
(858) 273-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

8555 Aero Dr Ste 308
San Diego, CA 92123-1745

Mailing address

8555 Aero Dr Ste 308
San Diego, CA 92123-1745
Phone (858) 273-6763

Other identifiers 1

IdentifierTypeStateIssuer
APPLYINGOtherCAAPPLYING TO MEDICARE

National Provider Directory

National Provider Directory

Locations

270 F St
Ste 25
Chula Vista, CA 91910
Phone (858) 273-6763

Practitioners & affiliated clinicians

Practitioners 1

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": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1891127049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 AERO DR STE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231745",
            "telephone_number": "858-273-6763",
            "fax_number": "858-273-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 AERO DR STE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231745",
            "telephone_number": "858-273-6763",
            "fax_number": "858-273-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKINSON'S ASSOCIATION OF SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "2ND V.P. PASD",
        "authorized_official_telephone_number": "858-273-6764"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLYING TO MEDICARE",
            "identifier": "APPLYING",
            "state": "CA"
        }
    ],
    "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 Sep 27, 2013; 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.