NPIMap

Organization Active NPI

Fashion Valley Clinic

  • Exclusive Provider Organization
  • San Diego, CA
National Provider Identifier
1952646697
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
FASHION VALLEY CLINIC
Practice address
7020 Friars Rd
San Diego, CA 92108-1126
Phone
(619) 718-9890
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Matthew Finch
Title
Counselor
Phone
(619) 718-9890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

7020 Friars Rd
San Diego, CA 92108-1126

Mailing address

7020 Friars Road
San Diego, CA 92108
Phone (619) 718-9890

National Provider Directory

National Provider Directory
Tax ID family
San Diego Health Alliance7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1952646697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 FRIARS ROAD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "619-718-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 FRIARS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081126",
            "telephone_number": "619-718-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASHION VALLEY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "FINCH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "619-718-9890"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "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 Dec 6, 2012; 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.