FRN SAN DIEGO LLC (NPI# 1104219377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104219377 |
| Entity Type | Organization |
| Organization Name | FRN SAN DIEGO LLC |
| Other Organization Name | FOUNDATIONS SAN DIEGO |
| Practice Address |
3930 4th Ave Suite 300 San Diego CA 92103-3119 |
| Mailing Address |
1000 Health Park Drive Building Three, Suite 400 Brentwood TN 37027 |
| Practice Telephone | 6198496010 |
| Mailing Telephone | 6153867255 |
| Mailing Fax Number | 6156457445 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | STEVE FILTON (EVP - CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6103823319 |
| Is Organization Subpart | Y |
| Parent Organization Name | FOUNDATIONS RECOVERY NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
370146AP | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Foundations San Diego | Doing Business As Name - Organization |
| Street Address |
3930 4TH AVE SUITE 300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134136948 | Nicki Christine Karlo | Physical Therapy Assistant | 3930 4th Ave, San Diego, CA 92103-3119 | 2006-08-02 |
| 1639624299 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 3930 4th Ave, Suite 200, San Diego, CA 92103-3119 | 2016-08-23 |
| 1609232727 | Christopher Lee | Physical Therapy Assistant | 3930 4th Ave, San Diego, CA 92103-3119 | 2016-01-05 |
| 1871864116 | Jessica Hurd | Counselor | 3930 4th Ave, 300, San Diego, CA 92103-3119 | 2012-01-18 |
| 1851682785 | Chai Seo Saelee | Social Worker | 3930 4th Ave, Suite 300, San Diego, CA 92103-3119 | 2011-04-26 |
| 1205131414 | Vivienne R Schroeder | Counselor | 3930 4th Ave, #300, San Diego, CA 92103-3119 | 2011-01-19 |
| 1386965333 | Grace Schutze | Social Worker | 3930 4th Ave, Suite# 300, San Diego, CA 92103-3119 | 2010-06-14 |
| 1689905226 | Franco Joseph Korpics | Counselor | 3930 4th Ave, San Diego, CA 92103-3119 | 2010-01-21 |
| 1518298108 | Bonnie Russell | Counselor | 3930 4th Ave, 300, San Diego, CA 92103-3119 | 2010-01-20 |
| 1396973780 | Charlesia Kosanke | Social Worker | 3930 4th Ave, 300, San Diego, CA 92103-3119 | 2009-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898473 | Abc Sober Living | Clinic/Center | 2123 Garnet Ave, San Diego, CA 92109-3663 | 2019-12-20 |
| 1477115525 | Lifemark Solutions LLC | Clinic/Center | 3065 Rosecrans Pl Ste 202, San Diego, CA 92110-4822 | 2019-06-28 |
| 1497230429 | Ethridge Recovery Center | Clinic/Center | 405 63rd St, San Diego, CA 92114-4237 | 2018-09-25 |
| 1023595519 | Holistix Treatment Centers LLC | Clinic/Center | 6310 Alvarado Ct, San Diego, CA 92120-4902 | 2018-07-26 |
| 1386148625 | Sober Life Recovery Solutions LLC | Clinic/Center | 1446 Front St Ste 400, San Diego, CA 92101-3425 | 2018-03-21 |
| 1124539960 | Crash, Inc. | Clinic/Center | 835 25th St, San Diego, CA 92102-2738 | 2017-10-19 |
| 1538611165 | The Betty Ford Center At San Diego | Clinic/Center | 11720 El Camino Real, Suite 200, San Diego, CA 92130-2224 | 2016-10-31 |
| 1730552084 | San Diego Student Recovery, LLC | Clinic/Center | 5440 Morehouse Dr Ste 4500, San Diego, CA 92121-6724 | 2015-11-09 |
| 1841699352 | Community Behavioral Health Solutions, Inc | Clinic/Center | 7071 Consolidated Way, San Diego, CA 92121 | 2014-08-20 |
| 1700989829 | San Diego Health Alliance | Clinic/Center | 7545 Metropolitan Dr, San Diego, CA 92108-4402 | 2006-09-06 |
| Find all providers in SAN DIEGO | ||||
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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.