Organization Active NPI

Armed Services YMCA of the USA San Diego Branch

Doing business as San Diego Armed Services YMCA

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1922669126
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ARMED SERVICES YMCA OF THE USA SAN DIEGO BRANCH
Doing business as
San Diego Armed Services YMCA
Practice address
3293 Santo Rd
San Diego, CA 92124-3340
Phone
(858) 751-5755
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Authorized official

Name
Coleen Cobbs, LCSWNPI 1295388932
Title
Clinical Director
Phone
(858) 987-1220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3293 Santo Rd
San Diego, CA 92124-3340

Mailing address

3293 Santo Rd
San Diego, CA 92124-3340
Phone (858) 751-5755

Other names 1

  • San Diego Armed Services YMCA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1922669126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3293 SANTO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243340",
            "telephone_number": "858-751-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3293 SANTO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921243340",
            "telephone_number": "858-751-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMED SERVICES YMCA OF THE USA SAN DIEGO BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "COBBS",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "858-987-1220",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Diego Armed Services YMCA",
            "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 Jun 27, 2019; 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.