NPIMap

Organization Active NPI

Upac TRC

  • Community/Behavioral Health Agency
  • San Diego, CA
National Provider Identifier
1982140521
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPAC TRC
Practice address
4191 Colts Way
San Diego, CA 92115-6023
Phone
(619) 521-5720
NPI assigned
Jan 6, 2017
Organization subpart
Yes
Parent organization
UNION OF PAN ASIAN COMMUNITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Sunnyo Pak
Title
Program Director
Phone
(619) 521-5720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

4191 Colts Way
San Diego, CA 92115-6023

Mailing address

3288 El Cajon Blvd Ste 13
San Diego, CA 92104-1430
Phone (619) 521-5720

Other identifiers 1

IdentifierTypeStateIssuer
8583MedicaidCA

Other names 1

  • CRAWFORD HIGH SCHOOL Other name

National Provider Directory

National Provider Directory
Tax ID family
Upac Teen Recovery Center25 organizations share this tax ID, including this one
Part of
Upac Teen Recovery Center

Other organizations with this tax ID 24

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

View all 24

Locations

4191 Colts Way
San Diego, CA 92115

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1982140521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 EL CAJON BLVD STE 13",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041430",
            "telephone_number": "619-521-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 COLTS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921156023",
            "telephone_number": "619-521-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPAC TRC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNION OF PAN ASIAN COMMUNITIES",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "SUNNYO",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "619-521-5720"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8583",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRAWFORD HIGH SCHOOL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 6, 2017; 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.