PATHWAYS COMMUNITY SERVICES LLC (NPI# 1104247659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104247659 |
| Entity Type | Organization |
| Organization Name | PATHWAYS COMMUNITY SERVICES LLC |
| Other Organization Name | KICK START |
| Practice Address |
6160 Mission Gorge Rd Ste 100 San Diego CA 92120-3425 |
| Mailing Address |
4281 Katella Ave Suite 201 Los Alamitos CA 90720-3500 |
| Practice Telephone | 6194813790 |
| Practice Fax Number | 6194813797 |
| Mailing Telephone | 5624675577 |
| Mailing Fax Number | 5624675553 |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | TRACY GINTER (LEAD BILLING MANAGER) |
| Authorized Official Telephone | 7145036880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | COUNTY CONTRACTED | 0000 | 01 |
| Other Name | Type Code |
|---|---|
| Kick Start | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6160 Mission Gorge Rd, Suite 100, San Diego, CA 921203410 | 6194913790 | 6194813797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124587233 | Pathways Community Services LLC | Community/Behavioral Health | 11032 Leffingwell Rd, Norwalk, CA 90650-3638 | 2019-03-18 |
| 1720225360 | Pathways Community Services LLC | Community/Behavioral Health | 42455 10th St W, Suite 103, Lancaster, CA 93534-7060 | 2009-01-20 |
| 1164681532 | Pathways Community Services LLC | Community/Behavioral Health | 7285 East Quill Dr, Downey, CA 90242-2001 | 2008-06-02 |
| 1093902934 | Pathways Community Services LLC | Point of Service | 7986 Dagget St, San Diego, CA 92111-2321 | 2007-09-25 |
| 1881729911 | Pathways Community Services LLC | Community/Behavioral Health | 711 E Ball Rd Ste 201, Anaheim, CA 92805-5925 | 2007-02-22 |
| 1437294618 | Pathways Community Services LLC | Community/Behavioral Health | 1401 N Tustin Ave Ste 225, Santa Ana, CA 92705-8688 | 2007-02-21 |
| 1306980974 | Pathways Community Services LLC | Community/Behavioral Health | 1360 S Anaheim Blvd Ste 101, Anaheim, CA 92805-6205 | 2007-02-16 |
| 1639364862 | Pathways Community Services LLC | Community/Behavioral Health | 9901 Paramount Blvd, Suite 250, Downey, CA 90240-3880 | 2007-09-11 |
| 1033239777 | Pathways Community Services LLC | Community/Behavioral Health | 6244 El Cajon Blvd, Suite 14, San Diego, CA 92115-3918 | 2007-03-29 |
| 1851421713 | Pathways Community Services LLC | Community/Behavioral Health | 21520 Pioneer Blvd, Suite 101, 110,111,112, 113,114, 116 & 203, Hawaiian Gardens, CA 90716 | 2007-03-07 |
| Street Address |
6160 MISSION GORGE RD STE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396071494 | Ericka Mancillas Vargas | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 100, San Diego, San Diego, CA 92120-3425 | 2009-10-23 |
| 1558983114 | Fedra Arellano | Marriage & Family Therapist | 6160 Mission Gorge Rd Ste 100, San Diego, CA 92120-3425 | 2020-05-17 |
| 1568094712 | Arisbet Abigail Armenta | Peer Specialist | 6160 Mission Gorge Rd Ste 100, San Diego, CA 92120-3425 | 2020-02-05 |
| 1780226290 | Noemi Yesenia Delgadillo | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 100, San Diego, CA 92120-3425 | 2019-10-16 |
| 1013475243 | Sophia Rose Magaudda | Licensed Vocational Nurse | 6160 Mission Gorge Rd Ste 100, San Diego, CA 92120-3425 | 2019-03-06 |
| 1003318221 | Hamilton To | Case Manager/Care Coordinator | 6160 Mission Gorge Rd Ste 100, San Diego, CA 92120 | 2018-03-03 |
| 1487000162 | Brianna Codallos | Marriage & Family Therapist | 6160 Mission Gorge Rd Ste 100, San Diego, CA 92120-3425 | 2016-05-11 |
| 1255725610 | Carolyn Logan | Student in an Organized Health Care Education/Training Program | 6160 Mission Gorge Rd Ste 100, San Diego, CA 92120-3425 | 2015-03-24 |
| 1487078291 | Erica N Sandoval | Marriage & Family Therapist | 6160 Mission Gorge Rd Ste 100, San Diego, CA 92120-3425 | 2014-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| 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 |
|---|---|---|---|---|
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1790390359 | Institute of Behavioral Sciences and Technology Family Counseling | Community/Behavioral Health | 9655 Granite Ridge Dr Ste Ofc2005, San Diego, CA 92123-2674 | 2020-09-10 |
| 1902426018 | Clayton Counseling Licensed Clinical Social Worker Inc. | Community/Behavioral Health | 2180 Garnet Ave Ste 2e, San Diego, CA 92109-3675 | 2020-04-17 |
| 1679113765 | Kristina Copley Marriage and Family Therapy, Inc | Community/Behavioral Health | 1267 Rosecrans St Ste B, San Diego, CA 92106-2692 | 2020-01-07 |
| 1417598319 | Open Heart Leaders | Community/Behavioral Health | 1913 Euclid Ave Ste 108, San Diego, CA 92105-5360 | 2019-10-01 |
| 1710531405 | Katherine Raftery | Community/Behavioral Health | 3570 Granada Ave, San Diego, CA 92104-4145 | 2019-07-31 |
| 1063064509 | Abigail Frances Swan | Community/Behavioral Health | 3376 Grim Ave Apt 3, San Diego, CA 92104-4650 | 2019-07-15 |
| 1548726862 | Unscripted Learning | Community/Behavioral Health | 3717 India St, San Diego, CA 92103-3727 | 2019-02-11 |
| 1356806509 | Vista Hill Foundation | Community/Behavioral Health | 8825 Aero Drive, Suite 315, San Diego, CA 92123-1104 | 2019-02-01 |
| 1891275707 | Kelley Kozlowski | Community/Behavioral Health | 4804 Iroquois Ave, San Diego, CA 92117-6248 | 2018-08-20 |
| Find all providers in SAN DIEGO | ||||
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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.