SAN DIEGO YOUTH SERVICES (NPI# 1366651366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366651366 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO YOUTH SERVICES |
| Other Organization Name | PARTNERS PROGRAM |
| Practice Address |
2250 4th Avenue Suite 301 San Diego CA 92101 |
| Mailing Address |
3255 Wing St San Diego CA 92110-4638 |
| Practice Telephone | 6195259902 |
| Practice Fax Number | 6195259908 |
| Mailing Telephone | 6192218600 |
| Mailing Fax Number | 6192218611 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | WALTER PHILIPS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6192218600 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Other Name | Type Code |
|---|---|
| Partners Program | 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 |
| 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 |
2250 4TH AVENUE SUITE 301 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| 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 |
| 1134367337 | San Diego Youth Services | Voluntary or Charitable | 3151 Redwood St, San Diego, CA 92104-4615 | 2009-01-26 |
| 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 |
| 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.