SAN DIEGO YOUTH SERVICES (NPI# 1952608465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952608465 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO YOUTH SERVICES |
| Other Organization Name | ECCC |
| Practice Address |
3845 Spring Dr Spring Valley CA 91977-1030 |
| Mailing Address |
3255 Wing St San Diego CA 92110-4638 |
| Practice Telephone | 6192586877 |
| Practice Fax Number | 6192580676 |
| Mailing Telephone | 6192218600 |
| Mailing Fax Number | 6192218611 |
| Enumeration Date | 2011-02-17 |
| 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 |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Other Name | Type Code |
|---|---|
| ECCC | 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 |
3845 SPRING DR |
| City | SPRING VALLEY |
| State | CA |
| Zip Code | 91977-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154471019 | Adriana Olalla | Counselor | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2007-01-11 |
| 1124638713 | Tessa Emily Reynosa | Marriage & Family Therapist | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2020-08-07 |
| 1326694480 | Jasmine Trammell | Counselor | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2019-08-14 |
| 1134771249 | Paola Ochoa | Rehabilitation Counselor | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2019-07-10 |
| 1750860060 | Celeste Martinez De Luna | Rehabilitation Counselor | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2018-08-08 |
| 1477041424 | Yesenia Lopez | Counselor | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2018-04-25 |
| 1306384193 | Tiffany Cox | Marriage & Family Therapist | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2017-02-01 |
| 1285087916 | Natasha Foster | Counselor | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2016-07-18 |
| 1497129373 | Nelly Gallegos | Case Manager/Care Coordinator | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2015-11-16 |
| 1346610102 | Misha Ruesta | Case Manager/Care Coordinator | 3845 Spring Dr, Spring Valley, CA 91977-1030 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710448436 | Tonetta Marie Smith | Counselor | 3322 Sweetwater Blvd, Ste 102, Spring Valley, CA 91977 | 2019-03-26 |
| 1164938080 | Tanya Renee Grant | Registered Nurse | 3536 Sweetwater Springs Blvd #d17, Spring Valley, CA 91977 | 2017-12-15 |
| 1326468034 | Michael Angelo Porter Sr. | Counselor | 3648 S Bonita St., Spring Valley, CA 91977 | 2014-04-21 |
| 1861819807 | Tara Bruton | Student in an Organized Health Care Education/Training Program | 211 Tarango Pl, Spring Valley, CA 91977 | 2014-03-27 |
| 1871835470 | Mcalister Institute for Treatment & Education, Inc. | Counselor | 8585 Blossom Lane, Room 117 and 117a, Spring Valley, CA 91977 | 2013-03-21 |
| 1992051692 | Alexander Forrest Greer | Counselor | 8585 Blossom Ln., Spring Valley, CA 91977 | 2012-07-31 |
| 1538433784 | Christopher Joseph Pittman | Rehabilitation Practitioner | 1209 San Miguel Avenue, Spring Valley, CA 91977 | 2012-03-06 |
| 1962653055 | Cherokee Personnel Services | Nursing Facility/Intermediate Care Facility | 3005 Rockcliff Ln, Spring Valley, CA 91977 | 2008-10-07 |
| 1942473665 | Victor Manuel Rendon | Pharmacy Technician | 1633 Gremlin Way, Spring Valley, CA 91977 | 2008-04-03 |
| 1568633295 | Maria V Agustin | Dentist | 645 Sweetwawter Rd., Spring Valley, CA 91977 | 2008-03-21 |
| Find all providers in zip 91977 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | SPRING VALLEY |
| Zip Code | 91977 |
Please comment or provide details below to improve the information on SAN DIEGO YOUTH SERVICES.
| 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.