SAN DIEGO CENTER FOR CHILDREN
Complete NPI Record 1922862580
in San Diego, CA

NPI Status: Active since February 13, 2024

Contact Information

3002 ARMSTRONG ST
SAN DIEGO, CA
ZIP 92111
Phone: (858) 569-2199

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Complete NPI Dataset

This page represents the complete record for NPI 1922862580. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1922862580
The country code in the location address of the provider being identified.
Entity Type Code: 2
The telephone number associated with the location address of the provider being identified.
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 3002 ARMSTRONG ST
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: SAN DIEGO
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 921115702
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 8585692199
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider First Line Business Practice Location Address: 3002 ARMSTRONG ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: SAN DIEGO
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: CA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 921115702
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 8585692199
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 2/13/2024
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 2/13/2024
The date that a record was last updated or changed.
Authorized Official Last Name: HOWARD
The code designating the provider’s gender if the provider is a person.
Authorized Official First Name: MISTY
The first name of the authorized official.
Authorized Official Title or Position: QA DIRECTOR
Authorized Official Telephone Number: 8585692199
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 251X00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: N
Is Organization Subpart: N
NPI Certification Date: 1/26/2024