DALY CITY YOUTH HEALTH CENTER (NPI# 1053540195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053540195 |
| Entity Type | Organization |
| Organization Name | DALY CITY YOUTH HEALTH CENTER |
| Practice Address |
2780 Junipero Serra Blvd Daly City CA 94015-1634 |
| Practice Telephone | 6509857000 |
| Mailing Telephone | 6509857000 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |
| Authorized Official Name | MR. ERIC MITCHELL STULLMAN (MFTI) |
| Authorized Official Telephone | 6505507678 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 58560 | CA | Agencies |
| Street Address |
2780 JUNIPERO SERRA BLVD |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245276716 | County of San Mateo | Clinic/Center | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2006-06-21 |
| 1700305752 | Kristy Lynn Wisnia | Student in an Organized Health Care Education/Training Program | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2017-09-11 |
| 1598213779 | Ana Caroline Leon Williams | Marriage & Family Therapist | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2016-09-15 |
| 1306394507 | Alicia Corwin | Student in an Organized Health Care Education/Training Program | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2016-09-15 |
| 1194193946 | Natalie Chan | Counselor | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2015-09-10 |
| 1306214143 | Rubi Esmeralda Gutierrez | Counselor | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2015-09-10 |
| 1942678784 | Stephanie Balon Wong | Counselor | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2015-09-10 |
| 1306234612 | Jose Feria | Marriage & Family Therapist | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2015-01-08 |
| 1629470406 | Jennifer Bloomer | Counselor | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2014-09-23 |
| 1184026494 | Jessica Brenner | Counselor | 2780 Junipero Serra Blvd, Daly City, CA 94015-1634 | 2014-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053367854 | County of San Mateo | Community/Behavioral Health | 375 89th St, Daly City, CA 94015-1802 | 2006-05-25 |
| 1013439942 | Starvista | Community/Behavioral Health | 333 Gellert Blvd Ste 206, Daly City, CA 94015-2659 | 2017-07-12 |
| 1861709768 | Katherine Ann Roberts | Community/Behavioral Health | 333 Gellert Blvd, Suite 206, Daly City, CA 94015-2621 | 2010-09-13 |
| 1104994185 | Healthright 360 | Community/Behavioral Health | 6181 Mission St, Daly City, CA 94014-2002 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.