San Diego City of Refuge

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

SAN DIEGO CITY OF REFUGE

Practice address

6440 Shane PL
San Diego, CA 92115-1546

Phone

(619) 804-4572

Fax

(619) 432-1335

NPI assigned

May 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. David Michael De Witt

Title

Director

Phone

(619) 804-4572

Specialties & licenses 1

Addresses

Other names 1

• City or Refuge Doing business as

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1982395893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 SHANE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151546",
            "telephone_number": "619-804-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 SHANE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151546",
            "telephone_number": "619-804-4572",
            "fax_number": "619-432-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO CITY OF REFUGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "DE WITT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-804-4572",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City or Refuge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Respite Care in San Diego, CA
• Providers in San Diego, CA by specialty
• Respite Care in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.