THE ARC OF SAN DIEGO (NPI# 1174705909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174705909 |
| Entity Type | Organization |
| Organization Name | THE ARC OF SAN DIEGO |
| Practice Address |
9575 Aero Dr San Diego CA 92123-1803 |
| Practice Telephone | 8587153780 |
| Practice Fax Number | 8587153788 |
| Mailing Telephone | 8587153780 |
| Mailing Fax Number | 8587153788 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |
| Authorized Official Name | VICTORIA CENDREDA (VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 8587153780 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1902088735 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 2930 Helix Street, Spring Valley, CA 91977 | 2007-12-04 |
| 1730361569 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 9075 Creekford Drive, Lakeside, CA 92040 | 2007-12-04 |
| 1801012927 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-04-17 |
| 1578745303 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| 1043492879 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| 1497937221 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| 1336321165 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| 1114109949 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| 1922280759 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-12-04 |
| Street Address |
9575 AERO DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538423140 | Glad Home Care | Intermediate Care Facility, Mentally Retarded | 8652 Tommy Dr, San Diego, CA 92119-2012 | 2012-06-28 |
| 1063648483 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 3066 Camino Aleta, San Diego, CA 92154-4633 | 2009-06-01 |
| 1801012927 | The Arc of San Diego | Intermediate Care Facility, Mentally Retarded | 3030 Market St, San Diego, CA 92102-3230 | 2007-04-17 |
| 1255669404 | Ryan's Way | Intermediate Care Facility, Mentally Retarded | 3453 Aveley Pl, San Diego, CA 92111-4727 | 2009-11-30 |
| 1164658589 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 3080 Minoa Way, San Diego, CA 92139-3722 | 2009-06-01 |
| 1154557577 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1841 Tamarand Way, San Diego, CA 92154-2860 | 2009-06-01 |
| 1881820207 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1130 Lauriston Dr, San Diego, CA 92154-3325 | 2009-06-01 |
| 1699901017 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 628 Omeara St, San Diego, CA 92114-6731 | 2009-06-01 |
| 1972739399 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 1805 Ionian St, San Diego, CA 92154-2821 | 2009-06-01 |
| 1477789832 | Rscr California, Inc. | Intermediate Care Facility, Mentally Retarded | 5979 Harps Ct, San Diego, CA 92114-5540 | 2009-05-29 |
| 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.