SAN DIEGO YOUTH SERVICES (NPI# 1194972174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194972174 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO YOUTH SERVICES |
| Other Organization Name | ECBHC SCHOOL BASED EPSDT |
| Practice Address |
1870 Cordell Ct Suite 101 El Cajon CA 92020-0914 |
| Mailing Address |
3255 Wing St San Diego CA 92110-4638 |
| Practice Telephone | 6194489700 |
| Practice Fax Number | 6194489711 |
| Mailing Telephone | 6192218601 |
| Mailing Fax Number | 6192218611 |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | MR. WALTER PHILIPS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6192218601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 37GC | CA | Agencies |
| Other Name | Type Code |
|---|---|
| ECBHC School Based EPSDT | 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 |
| 1134367337 | San Diego Youth Services | Voluntary or Charitable | 3151 Redwood St, San Diego, CA 92104-4615 | 2009-01-26 |
| 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 |
| Street Address |
1870 CORDELL CT SUITE 101 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020-0914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558495002 | San Diego Youth Services | Voluntary or Charitable | 1870 Cordell Ct, El Cajon, CA 92020-0914 | 2007-03-15 |
| 1811508492 | Jessica Rosete | Student in an Organized Health Care Education/Training Program | 1870 Cordell Ct, El Cajon, CA 92020-0914 | 2020-08-16 |
| 1841823747 | Andrea Nicole Pena Offerdahl | Counselor | 1870 Cordell Ct, El Cajon, CA 92020-0914 | 2020-02-19 |
| 1598237281 | Kate Petersen | Marriage & Family Therapist | 1870 Cordell Ct, El Cajon, CA 92020-0914 | 2018-12-19 |
| 1477962397 | Aseel Ross | Student in an Organized Health Care Education/Training Program | 1870 Cordell Ct, Suite 101, El Cajon, CA 92020-0914 | 2014-08-05 |
| 1376965095 | Deanna Jimenez | Marriage & Family Therapist | 1870 Cordell Ct, Ste. 101, El Cajon, CA 92020-0914 | 2014-01-15 |
| 1407118409 | Ji-hyun Kim | Counselor | 1870 Cordell Ct, Ste. 101, El Cajon, CA 92020-0914 | 2012-06-14 |
| 1205116621 | Jaime Lopez | Case Manager/Care Coordinator | 1870 Cordell Ct, Suite 101, El Cajon, CA 92020-0914 | 2011-08-17 |
| 1831499466 | Maria Pizano | Marriage & Family Therapist | 1870 Cordell Ct, Suite 101, El Cajon, CA 92020-0914 | 2010-10-29 |
| 1619284916 | Jennifer Galvis Whetstone | Marriage & Family Therapist | 1870 Cordell Ct, Suite 101, El Cajon, CA 92020-0914 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| 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 |
|---|---|---|---|---|
| 1245718956 | Laney Elle Carrasco | Community/Behavioral Health | 316 Hart Dr, El Cajon, CA 92021-4591 | 2018-08-03 |
| 1184866816 | Best Services Inc | Community/Behavioral Health | 411 S Magnolia Ave, El Cajon, CA 92020-5212 | 2009-03-26 |
| 1639292097 | Community Research Foundation | Community/Behavioral Health | 700 N Johnson Ave Ste P, El Cajon, CA 92020-2589 | 2007-04-09 |
| 1265564553 | Majid Michael Naficy | Community/Behavioral Health | 1000 Broadway Ave., Suite 210, El Cajon, CA 92021-4803 | 2007-03-12 |
| 1194376772 | Unexpected Possibilities Arf LLC | Community/Behavioral Health | 807 Benny Way, El Cajon, CA 92019-3100 | 2019-09-24 |
| 1558885442 | Community Research Foundation Inc | Community/Behavioral Health | 900 N Cuyamaca St Ste 110, El Cajon, CA 92020-1865 | 2017-08-01 |
| 1255887113 | County of San Diego | Community/Behavioral Health | 1000 Broadway, Suit 210, El Cajon, CA 92021-6886 | 2016-08-31 |
| 1417368374 | Community Research Foundation | Community/Behavioral Health | 1664 Broadway, El Cajon, CA 92021-5201 | 2014-05-14 |
| 1215378252 | Heartland Wellness and Recovery Center | Community/Behavioral Health | 1060 Estes St, El Cajon, CA 92020-7411 | 2013-07-06 |
| 1902160104 | Vista Hill Foundation | Community/Behavioral Health | 1600 N Cuyamaca St, El Cajon, CA 92020-1109 | 2012-07-02 |
| Find all providers in EL CAJON | ||||
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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.