NPIMap

Organization Active NPI

South Bay Community Services

  • Adolescent and Children Mental Health Clinic/Center
  • Chula Vista, CA
National Provider Identifier
1972656056
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
SOUTH BAY COMMUNITY SERVICES
Practice address
430 F St
Chula Vista, CA 91910-3711
Phone
(619) 420-3620
Fax
(619) 420-8722
NPI assigned
Jan 19, 2007
Organization subpart
Yes
Parent organization
SOUTH BAY COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Kathryn Lembo, BA
Title
Executive Director
Phone
(619) 420-3620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

430 F St
Chula Vista, CA 91910-3711

Mailing address

430 F St
Chula Vista, CA 91910-3711
Phone (619) 420-3620

Other identifiers 1

IdentifierTypeStateIssuer
37GAOtherCADMH

Other names 1

  • CAT - EPSDT Other name

National Provider Directory

National Provider Directory
Tax ID family
SBCS Corporation11 organizations share this tax ID, including this one
Part of
SBCS Corporation

Other organizations with this tax ID 10

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

Locations

430 F St
Chula Vista, CA 91910
Phone (619) 517-2867

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1972656056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103711",
            "telephone_number": "619-420-3620",
            "fax_number": "619-420-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103711",
            "telephone_number": "619-420-3620",
            "fax_number": "619-420-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH BAY COMMUNITY SERVICES",
        "enumeration_date": "2007-01-19",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "LEMBO",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "619-420-3620",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMH",
            "identifier": "37GA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAT - EPSDT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.