COUNTY OF SAN DIEGO


Address: 1110 Carolina Lane, San Diego, CA 92102
Phone: 6192627342

COUNTY OF SAN DIEGO (NPI# 1023103595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023103595
Entity Type Organization
Organization Name COUNTY OF SAN DIEGO
Practice Address 1110 Carolina Lane
San Diego
CA 92102
Mailing Address 6160 Mission Gorge Road
San Diego
CA 92120
Practice Telephone 6192627342
Practice Fax Number 6192628918
Mailing Telephone 6195284000
Mailing Fax Number 6195284077
Enumeration Date 2006-10-03
Last Update Date 2020-08-22
Authorized Official Name MS. ROBYN BURNS (CHIEF)
Authorized Official Telephone 6195284082
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization CCS00041F CA Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDI-CAL PROVIDER NUMBERS CCS00041F 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952596546 County of San Diego Rehabilitation Unit 569 S Mollison Ave Unit E, El Cajon, CA 92020-5466 2007-09-07
1467657064 County of San Diego Skilled Nursing Facility 9065 Edegmoor Drive, Santee, CA 92071 2007-06-15
1487875308 County of San Diego Case Manager/Care Coordinator 3977 Ohio St, San Diego, CA 92104-3014 2007-05-01
1467581934 County of San Diego Public Health or Welfare 1000 Bay Marina Dr, National City, CA 91950-6302 2007-03-02
1588750111 County of San Diego Exclusive Provider Organization 215 W. California Ave., Vista, CA 92083 2006-10-04
1629164322 County of San Diego Exclusive Provider Organization 420 North Falconer Road, Escondido, CA 92027 2006-10-04
1659464410 County of San Diego Exclusive Provider Organization 510 E. Naples St., Rm 28, Chula Vista, CA 91911 2006-10-02
1356434112 County of San Diego Exclusive Provider Organization 6991 Balboa Avenue, San Diego, CA 92111 2006-10-02
1801989405 County of San Diego Exclusive Provider Organization 1609 E. Madison Ave., El Cajon, CA 92019 2006-10-02
1609315415 County of San Diego Nursing Care 5055 Ruffin Rd, San Diego, CA 92123-1617 2017-02-14

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities COUNTY OF SAN DIEGO 1600 Pacific Hwy, San Diego, CA 92101-2429

Office Location

Street Address 1110 CAROLINA LANE
City SAN DIEGO
State CA
Zip Code 92102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659495406 Mary Lisa Hecker Rehabilitation Practitioner 1110 Carolina Lane, Rm. 206, San Diego, CA 92102-3626 2007-03-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437766698 Daniela Tablas Behavioral Analyst 303 47th St Spc D-22, San Diego, CA 92102 2020-09-30
1649745712 Juliet Lao Kurek Pharmacist 2121 Imperial Avenue, San Diego, CA 92102 2018-10-04
1851887020 Monique Joseph Counselor 2410 E. Street, San Diego, CA 92102 2018-07-10
1184166316 Elise Blanton-hubbard Counselor 1850 Dale St, San Diego, CA 92102 2016-11-04
1699221416 Kari Judith Medina Student in an Organized Health Care Education/Training Program 1199 34th Street Apt 11, San Diego, CA 92102 2016-08-31
1942674536 Caitlin Hillary Dablow Speech-Language Pathologist 1201 34th Street, San Diego, CA 92102 2015-11-19
1134508179 Jonathan Waters Military Health Care Provider 1233 22nd Street, Unit 8, San Diego, CA 92102 2015-05-22
1871989913 Abraham Greenberg Pediatrics 15 Balfour Street, Jerusalem, ISRAEL 92102 2015-04-15
1023421021 Elmira Aghdam Chiropractor 5030 Bonita Rd Ste#b, Bonita, CA 92102 2014-06-06
1487092540 Sherry Scott Marriage & Family Therapist 995 Gateway Center Drive #300, San Diego, CA 92102 2013-06-11
Find all providers in zip 92102

Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538512744 Azila Katherine Sabile Ortiz Exclusive Provider Organization 15260 Amalia St, San Diego, CA 92129-1228 2016-07-22
1992044036 Reza Kasiri Exclusive Provider Organization 6755 Mira Mesa Blvd Ste 218, San Diego, CA 92121-4311 2013-02-09
1356434112 County of San Diego Exclusive Provider Organization 6991 Balboa Avenue, San Diego, CA 92111 2006-10-02
1023632023 Sandra Clare Hudson Exclusive Provider Organization 6991 Balboa Ave, San Diego, CA 92111-3447 2020-06-04
1609328368 Robert M. Howard Optometrist Inc Exclusive Provider Organization 8022 Clairemont Mesa Blvd, San Diego, CA 92111-1615 2016-10-28
1598112708 Ngk Corporation Dba Assisting Hands of San Diego Exclusive Provider Organization 16870 W Bernardo Dr Ste 400, San Diego, CA 92127-1678 2016-05-17
1821469347 Kara Dodds and Associates Exclusive Provider Organization 7840 Mission Center Ct Ste 200, San Diego, CA 92108-1320 2015-10-09
1942620463 Gastroenterology and Hepatology Medical Associates Exclusive Provider Organization 4060 Fourth Ave, Suite 240, San Diego, CA 92103-2116 2014-04-23
1952646697 Fashion Valley Clinic Exclusive Provider Organization 7020 Friars Rd, San Diego, CA 92108-1126 2012-12-06
1932471125 Richard L.kornberg, M.d.a Professional Corporation Exclusive Provider Organization 110 W Pennsylvania Ave, San Diego, CA 92103-4016 2012-02-02
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92102

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Dataset Information

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.

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