Organization Active NPI

Empowered Community Management

  • Case Management Agency
  • San Diego, CA
National Provider Identifier
1922979053
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EMPOWERED COMMUNITY MANAGEMENT
Practice address
3911 Cleveland Ave # 33748
San Diego, CA 92103-3402
Phone
(805) 386-9712
NPI assigned
Sep 12, 2025
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Mr. Reynaldo Lara Jr.
Title
Board Member
Phone
(805) 680-2774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3911 Cleveland Ave # 33748
San Diego, CA 92103-3402

Mailing address

3911 Cleveland Ave # 33748
San Diego, CA 92103-3402
Phone (805) 680-2774

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1922979053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 CLEVELAND AVE # 33748",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033402",
            "telephone_number": "805-680-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 CLEVELAND AVE # 33748",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033402",
            "telephone_number": "805-386-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED COMMUNITY MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "805-680-2774",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 12, 2025; 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.