SAN DIEGO YOUTH SERVICES (NPI# 1134367337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134367337 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO YOUTH SERVICES |
| Other Organization Name | THE BRIDGE |
| Practice Address |
3151 Redwood St San Diego CA 92104-4615 |
| Mailing Address |
3255 Wing St San Diego CA 92110-4638 |
| Practice Telephone | 6195213939 |
| Practice Fax Number | 6195213935 |
| Mailing Telephone | 6192218601 |
| Mailing Fax Number | 6192218611 |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | WALTER EDWIN PHILIPS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6192218601 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Other Name | Type Code |
|---|---|
| The Bridge | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629379581 | San Diego Youth Services | Case Management | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2010-11-09 |
| 1558548669 | San Diego Youth Services | Foster Care Agency | 3255 Wing St Ste 500, San Diego, CA 92110-4642 | 2008-01-31 |
| 1366651366 | San Diego Youth Services | Community/Behavioral Health | 2250 4th Avenue, Suite 301, San Diego, CA 92101 | 2007-05-22 |
| 1558495002 | San Diego Youth Services | Voluntary or Charitable | 1870 Cordell Ct, El Cajon, CA 92020-0914 | 2007-03-15 |
| 1235149667 | San Diego Youth Services | Voluntary or Charitable | 3255 Wing St, San Diego, CA 92110-4638 | 2006-08-08 |
| 1184119430 | San Diego Youth Services | Community/Behavioral Health | 7364 El Cajon Blvd, San Diego, CA 92115-1864 | 2018-06-28 |
| 1720509409 | San Diego Youth Services | Community/Behavioral Health | 3427 4th Ave, San Diego, CA 92103-4910 | 2017-07-03 |
| 1689195398 | San Diego Youth Services | Community/Behavioral Health | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2017-07-03 |
| 1477891257 | San Diego Youth Services | Case Manager/Care Coordinator | 3151 Redwood St, San Diego, CA 92104-4615 | 2013-01-29 |
| 1952608465 | San Diego Youth Services | Voluntary or Charitable | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2011-02-17 |
| Street Address |
3151 REDWOOD ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92104-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497166300 | Daniel Shook | Case Manager/Care Coordinator | 3151 Redwood St, San Diego, CA 92104-4615 | 2014-05-13 |
| 1043658859 | David Meza | Student in an Organized Health Care Education/Training Program | 3151 Redwood St, San Diego, CA 92104-4615 | 2013-06-13 |
| 1477891257 | San Diego Youth Services | Case Manager/Care Coordinator | 3151 Redwood St, San Diego, CA 92104-4615 | 2013-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933610 | Hinderberger Dental Corporation | Dentist | 2050 El Cajon Boulevard, San Diego, CA 92104 | 2019-07-11 |
| 1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
| 1700393485 | Christian Jacot | Occupational Therapy Assistant | 3128 Nile Street, San Diego, CA 92104 | 2018-01-04 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| 1164940789 | Robert Brian Damone | Acupuncturist | 3370 29th Street, San Diego, CA 92104 | 2017-09-04 |
| 1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
| 1063938587 | Indie C Oliver Landrum | Case Manager/Care Coordinator | 2220 Broadway, San Diego, CA 92104 | 2017-08-16 |
| 1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
| 1063871853 | Holly Nicole Hinderberger | Dentist | 2050 El Cajon Blvd, San Diego, CA 92104 | 2016-02-22 |
| 1316336258 | Jorge E Talavera | Military Health Care Provider | 3875 Florida St Apt 2, San Diego, CA 92104 | 2015-01-15 |
| Find all providers in zip 92104 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467927855 | Priscilla Hebert | Voluntary or Charitable | 1488 Sunset Cliffs Blvd, San Diego, CA 92107-3848 | 2018-10-11 |
| 1184073710 | Health Education Advocacy Leadership | Voluntary or Charitable | 4276 54th Pl Ste C, San Diego, CA 92115-6011 | 2016-06-04 |
| 1023465739 | Employment & Community Options | Voluntary or Charitable | 9370 Sky Park Ct, Ste. 210, San Diego, CA 92123-5301 | 2016-05-23 |
| 1154613925 | Bojorquez Medical Billing Mgmt Inc | Voluntary or Charitable | 3655 31st St, San Diego, CA 92104-4203 | 2011-05-11 |
| 1770708596 | San Diego Center for The Blind | Voluntary or Charitable | 5922 El Cajon Blvd, San Diego, CA 92115-3826 | 2007-04-16 |
| 1851414304 | Institute for Public Strategies | Voluntary or Charitable | 409 Camino Del Rio S, Suite 305, San Diego, CA 92108-3504 | 2007-04-09 |
| 1235149667 | San Diego Youth Services | Voluntary or Charitable | 3255 Wing St, San Diego, CA 92110-4638 | 2006-08-08 |
| 1760477467 | Jewish Family Service of San Diego | Voluntary or Charitable | 8804 Balboa Ave, San Diego, CA 92123-1506 | 2005-09-19 |
| 1780247155 | M. Johnson Dental Corporation | Voluntary or Charitable | 3023 Bunker Hill St Ste 105, San Diego, CA 92109-5706 | 2019-04-21 |
| 1427445618 | Community Allies for Psychological Empowerment | Voluntary or Charitable | 2202 Comstock St, Attn: Cape, San Diego, CA 92111-6502 | 2015-04-25 |
| 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.