SAN DIEGO YOUTH SERVICES (NPI# 1629379581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629379581 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO YOUTH SERVICES |
| Other Organization Name | TEEN OPTIONS |
| Practice Address |
3660 Fairmount Ave San Diego CA 92105-3422 |
| Mailing Address |
3255 Wing St San Diego CA 92110-4638 |
| Practice Telephone | 6195212250 |
| Practice Fax Number | 6195215944 |
| Mailing Telephone | 6192218600 |
| Mailing Fax Number | 6192218611 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | MR. WALTER PHILIPS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6192218600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Teen Options | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1952608465 | San Diego Youth Services | Voluntary or Charitable | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2011-02-17 |
| Street Address |
3660 FAIRMOUNT AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92105-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992331680 | Jennifer Bayardo | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2020-03-13 |
| 1700436334 | Malika Hollins | Counselor | 3660 Fairmount Ave, San Diego, CA 92105 | 2019-09-16 |
| 1972157790 | Charlene Maico Reed | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2019-07-30 |
| 1245899962 | Fabian Escobedo Jr. | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2019-06-06 |
| 1033677091 | Sanyte Hailemariam | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2019-03-08 |
| 1851863674 | Myisha Butler | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2018-12-18 |
| 1427540335 | Bryanna Catherine Brown | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2018-06-06 |
| 1477045888 | Nicole Pearce | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2018-05-31 |
| 1740772151 | Juan Pablo Cornejo | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2018-05-31 |
| 1770075269 | Rebecca Hernandez | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2018-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851934798 | Point Loma Nazarene University | Nurse Practitioner | Point Loma Nazarene University Health Promotion Center, 4101 University Avenue, San Diego, CA 92105 | 2019-10-23 |
| 1104478809 | Kristin Lynn Nichols | Counselor | 4823 El Cajon Blvd Suite #115, San Diego, CA 92105 | 2019-07-12 |
| 1205343076 | Momentum Learning | Counselor | 3720 El Cajon Blvd., Sd, CA 92105 | 2018-01-03 |
| 1306352695 | Nathan Hien Le, Dds. Inc | Dentist | 4170 Fairmount Ave., San Diego, CA 92105 | 2017-12-21 |
| 1073038071 | Aika Mary Erlandson | Student in an Organized Health Care Education/Training Program | 5296 University Ave. Suite F-2, San Diego, CA 92105 | 2017-08-10 |
| 1457872178 | Ride-in Transport LLC | Non-emergency Medical Transport (VAN) | 4061 Fairmount Ave, San Diego, CA 92105 | 2017-07-03 |
| 1598205346 | Ahmed Mooge | Ambulance | 4061 Fairmout Ave, San Diego, CA 92105 | 2017-02-27 |
| 1083152748 | Rady Childrens Hospital-san Diego | Psychiatric Unit | 4305 University Avenue, Suite 150, San Diego, CA 92105 | 2017-02-02 |
| 1730634098 | Med Specialty Sai Inc. | Pharmacy | 4153 University Avenue, Suite B, San Diego, CA 92105 | 2016-08-16 |
| 1568857464 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4074 Fairmount Avenue, Suite B, San Diego, CA 92105 | 2015-03-30 |
| Find all providers in zip 92105 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780148692 | North County Therapy for Young Men | Case Management | 5985 El Cajon Blvd, San Diego, CA 92115-3827 | 2019-01-24 |
| 1518444900 | Life Resource and Developement | Case Management | 3295 Meade Ave, San Diego, CA 92116-4557 | 2018-07-27 |
| 1083163067 | Sober Coaches of California LLC | Case Management | 5980 Dandridge Ln, Unit 208, San Diego, CA 92115-6580 | 2016-10-01 |
| 1689121972 | Ebony P Brown | Case Management | 3725 Old Cobble Rd, San Diego, CA 92111-4051 | 2016-09-05 |
| 1598122871 | Primary Care Health Network LLC | Case Management | 7535 Metropolitan Dr, San Diego, CA 92108-4402 | 2016-01-18 |
| 1033545066 | Christie's Place, Inc. | Case Management | 2440 3rd Ave, San Diego, CA 92101-1516 | 2013-09-23 |
| 1235400490 | Family Youth Roundtable of San Diego County | Case Management | 345 15th St, Suite A, San Diego, CA 92101-8951 | 2012-01-19 |
| 1831467752 | Marylin Joy Williams | Case Management | 4851 Casals Pl, San Diego, CA 92124-1502 | 2011-12-06 |
| 1144509878 | International Care LLC | Case Management | 200 Harbor Dr, #501, San Diego, CA 92101-7049 | 2011-08-11 |
| 1679875710 | Heavenly Angels Home Care | Case Management | 4709 Mount Abernathy Ave, San Diego, CA 92117-3340 | 2010-11-22 |
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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.