Active NPI
Ashley Eva Spong Reitzin
- Social Worker
- San Diego, CA
National Provider Identifier
1972736841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3990 Old Town Ave
BLDG. C Suite 201
San Diego, CA 92110-2930 - Phone
- (619) 278-2400
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
3990 Old Town Ave
BLDG. C Suite 201
San Diego, CA 92110-2930
Mailing address
PO Box 151240
San Diego, CA 92175-1240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1972736841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151240",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921751240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3990 OLD TOWN AVE",
"address_2": "BLDG. C SUITE 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921102930",
"telephone_number": "619-278-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPONG REITZIN",
"first_name": "ASHLEY",
"middle_name": "EVA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"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 Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.