SAN DIEGO COUNTY MEDICAL SERVICES PROGRAM (NPI# 1194844423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194844423 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO COUNTY MEDICAL SERVICES PROGRAM |
| Practice Address |
8840 Complex Dr Suite 300 San Diego CA 92123-1497 |
| Practice Telephone | 8584924422 |
| Mailing Telephone | 8584924422 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERRY HOGAN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6195156555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GXC000747 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255456810 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-20 |
| 1174730295 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Ste 300, San Diego, CA 92123-1497 | 2007-05-17 |
| 1487861506 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-05-17 |
| 1467669580 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Ste 300, San Diego, CA 92123-1497 | 2007-05-17 |
| 1962619098 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Ste 300, San Diego, CA 92123-1497 | 2007-05-17 |
| 1851410898 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-29 |
| 1952421752 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-29 |
| 1568582203 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-29 |
| 1649399965 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-28 |
| 1700905148 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-28 |
| Street Address |
8840 COMPLEX DR SUITE 300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255456810 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-20 |
| 1174730295 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Ste 300, San Diego, CA 92123-1497 | 2007-05-17 |
| 1487861506 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-05-17 |
| 1467669580 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Ste 300, San Diego, CA 92123-1497 | 2007-05-17 |
| 1962619098 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Ste 300, San Diego, CA 92123-1497 | 2007-05-17 |
| 1851410898 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-29 |
| 1952421752 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-29 |
| 1568582203 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-29 |
| 1649399965 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-28 |
| 1700905148 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760048086 | Info Line of San Diego | Public Health or Welfare | 3860 Calle Fortunada Ste 101, San Diego, CA 92123-4802 | 2019-05-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| 1528595360 | Telecare | Public Health or Welfare | 776 Florence St, San Diego, CA 92132-0001 | 2017-05-11 |
| 1801253869 | Public Health Services-san Diego County | Public Health or Welfare | 3851 Rosecrans St # 207, San Diego, CA 92110-3115 | 2016-01-21 |
| 1437592458 | California Department of Health Care Services | Public Health or Welfare | 9555 Chesapeake Dr Ste 203, San Diego, CA 92123-6394 | 2013-04-09 |
| 1487771192 | Volunteers of America Southwest California | Public Health or Welfare | 650 11th Ave, San Diego, CA 92101-7222 | 2007-03-26 |
| 1255456810 | San Diego County Medical Services Program | Public Health or Welfare | 8840 Complex Dr, Suite 300, San Diego, CA 92123-1497 | 2007-03-20 |
| 1831223247 | Upac Alcohol and Drug Treatment Programs | Public Health or Welfare | 3288 El Cajon Blvd., Suites 13, 12, 11, 10, 6, 3, San Diego, CA 92104-1430 | 2007-03-15 |
| 1770103152 | Community Wellbeing San Diego | Public Health or Welfare | 5203 Caminito Cachorro, San Diego, CA 92105-5357 | 2020-04-25 |
| 1659919140 | Tubi Connect Inc. | Public Health or Welfare | 7071 Consolidated Way, San Diego, CA 92121-2604 | 2019-12-15 |
| 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.