SOUTH BAY COMMUNITY SERVICES (NPI# 1972656056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972656056 |
| Entity Type | Organization |
| Organization Name | SOUTH BAY COMMUNITY SERVICES |
| Other Organization Name | CAT - EPSDT |
| Practice Address |
430 F St Chula Vista CA 91910-3711 |
| Practice Telephone | 6194203620 |
| Practice Fax Number | 6194208722 |
| Mailing Telephone | 6194203620 |
| Mailing Fax Number | 6194208722 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-08-02 |
| Authorized Official Name | KATHRYN LEMBO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6194203620 |
| Authorized Official Credential | BA |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH BAY COMMUNITY SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DMH | 37GA | 01 |
| Other Name | Type Code |
|---|---|
| CAT - EPSDT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760632699 | South Bay Community Services | Early Intervention Provider Agency | 2001 Rimbey Ave, San Diego, CA 92154-3032 | 2008-09-29 |
| 1215413539 | South Bay Community Services | Community/Behavioral Health | 2001 Rimbey Ave, San Diego, CA 92154 | 2018-07-19 |
| 1104373737 | South Bay Community Services | Early Intervention Provider Agency | 430 F St, Chula Vista, CA 91910-3711 | 2016-09-01 |
| 1396995221 | South Bay Community Services | Early Intervention Provider Agency | 430 F St, Chula Vista, CA 91910-3711 | 2008-09-29 |
| 1497943336 | South Bay Community Services | Community/Behavioral Health | 430 F St, Chula Vista, CA 91910-3711 | 2007-10-04 |
| Street Address |
430 F ST |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91910-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090797 | Yvette Laguitan | Case Manager/Care Coordinator | 430 F St, Chula Vista, CA 91910-3711 | 2020-10-13 |
| 1427674688 | Lizbeth Noriega | Marriage & Family Therapist | 430 F St, Chula Vista, CA 91910-3711 | 2020-06-23 |
| 1528696747 | Luisiana Y Aguayo | Marriage & Family Therapist | 430 F St, Chula Vista, CA 91910-3711 | 2020-04-01 |
| 1356981583 | Valerie Nolasco | Marriage & Family Therapist | 430 F St, Chula Vista, CA 91910-3711 | 2020-01-15 |
| 1497390553 | Karina Isabel Rico | Counselor | 430 F St, Chula Vista, CA 91910-3711 | 2019-11-13 |
| 1851940084 | Sinthia Garcia | Case Manager/Care Coordinator | 430 F St, Chula Vista, CA 91910-3711 | 2019-09-10 |
| 1922660695 | Jimmy Henry Faddis I | Counselor | 430 F St, Chula Vista, CA 91910-3711 | 2019-07-02 |
| 1568023596 | Nancy Jimenez | Marriage & Family Therapist | 430 F St, Chula Vista, CA 91910-3711 | 2019-06-20 |
| 1366002917 | Megan Kelly Rogers | Counselor | 430 F St, Chula Vista, CA 91910-3711 | 2019-06-17 |
| 1104385830 | Giovanna Montoya | Case Manager/Care Coordinator | 430 F St, Chula Vista, CA 91910-3711 | 2019-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194264 | Joshua Maurice Hayden | Dental Hygienist | 678 Thrid Ave, Chula Vista, CA 91910 | 2019-10-02 |
| 1255980504 | Samantha Bernaldo | Dental Hygienist | 668 Third Ave, Chula Vista, CA 91910 | 2019-09-10 |
| 1073179529 | Roshni Kakaiya | Student in an Organized Health Care Education/Training Program | 435 H Street, Cv112, Chula Vista, CA 91910 | 2019-05-09 |
| 1598232506 | Naria Le Mire | Dietitian, Registered | 288 Broadway #141a, Chula Vista, CA 91910 | 2018-10-28 |
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1104332741 | Teodoro David Pena | Dentist | 510 Broadway Ste 4-5, Chula Vista, CA 91910 | 2017-12-19 |
| 1538684865 | Camille Cooke | Counselor | 430 F. Street, Chula Vista, CA 91910 | 2017-08-08 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1396270583 | Tam Trieu | Pharmacist | 555 Broaway Suite 1054, Chula Vista, CA 91910 | 2017-04-25 |
| 1548792815 | Sabrina Owens | Family Medicine | 499 H Street Cv112, Chula Vista, CA 91910 | 2017-03-28 |
| Find all providers in zip 91910 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774128 | New Alternatives, Incorporated | Clinic/Center | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2019-08-06 |
| 1376756817 | New Alternatives, Incorporated | Clinic/Center | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2007-05-08 |
| 1154534592 | New Alternatives, Incorporated | Clinic/Center | 730 Medical Center Ct, Chula Vista, CA 91911-6618 | 2007-05-08 |
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| 1073112157 | 10-20 Club Inc. | Clinic/Center | 8221 3rd St Ste 403, Downey, CA 90241-3733 | 2020-10-20 |
| 1447857040 | Mary Cox, Lmft | Clinic/Center | 13800 Heacock St Ste 230a, Moreno Valley, CA 92553-8824 | 2020-10-06 |
| 1821607771 | Tonya Octave, Lcsw, Prof Corp | Clinic/Center | 237 S Lakeview Ave Ste A, Placentia, CA 92870-6756 | 2020-07-27 |
| 1972121762 | Environmental Alternatives Susanville | Clinic/Center | 2003 Main St, Susanville, CA 96130-4501 | 2020-07-08 |
| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91910 |
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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.