SAN DIEGO YOUTH SERVICES


Address: 3255 Wing St, Ste 500, San Diego, CA 92110-4638
Phone: 6192218610

SAN DIEGO YOUTH SERVICES (NPI# 1407012552) 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) 1407012552
Entity Type Organization
Organization Name SAN DIEGO YOUTH SERVICES
Other Organization Name FOSTER CARE MTFC
Practice Address 3255 Wing St
Ste 500
San Diego
CA 92110-4638
Practice Telephone 6192218610
Practice Fax Number 6192218619
Mailing Telephone 6192218600
Mailing Fax Number 6192218611
Enumeration Date 2008-07-29
Last Update Date 2013-04-04
Authorized Official Name WALTER PHILIPS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 6192218601
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 253J00000X Foster Care Agency 370602725 CA Agencies

Other Provider/Organization Names

Other Name Type Code
Foster Care MTFC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629379581 San Diego Youth Services Case Management 3660 Fairmount Ave, San Diego, CA 92105-3422 2010-11-09
1134367337 San Diego Youth Services Voluntary or Charitable 3151 Redwood St, San Diego, CA 92104-4615 2009-01-26
1558548669 San Diego Youth Services Foster Care Agency 3255 Wing St Ste 500, San Diego, CA 92110-4642 2008-01-31
1366651366 San Diego Youth Services Community/Behavioral Health 2250 4th Avenue, Suite 301, San Diego, CA 92101 2007-05-22
1558495002 San Diego Youth Services Voluntary or Charitable 1870 Cordell Ct, El Cajon, CA 92020-0914 2007-03-15
1235149667 San Diego Youth Services Voluntary or Charitable 3255 Wing St, San Diego, CA 92110-4638 2006-08-08
1184119430 San Diego Youth Services Community/Behavioral Health 7364 El Cajon Blvd, San Diego, CA 92115-1864 2018-06-28
1720509409 San Diego Youth Services Community/Behavioral Health 3427 4th Ave, San Diego, CA 92103-4910 2017-07-03
1689195398 San Diego Youth Services Community/Behavioral Health 3660 Fairmount Ave, San Diego, CA 92105-3422 2017-07-03
1477891257 San Diego Youth Services Case Manager/Care Coordinator 3151 Redwood St, San Diego, CA 92104-4615 2013-01-29

Office Location

Street Address 3255 WING ST
STE 500
City SAN DIEGO
State CA
Zip Code 92110-4638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235149667 San Diego Youth Services Voluntary or Charitable 3255 Wing St, San Diego, CA 92110-4638 2006-08-08
1396359956 Alexandra Evans Case Manager/Care Coordinator 3255 Wing St, San Diego, CA 92110-4638 2020-09-01
1215548946 Kyle Marlow Marriage & Family Therapist 3255 Wing St, San Diego, CA 92110-4638 2020-08-15
1548883440 Marcia Kay Jones Counselor 3255 Wing St, San Diego, CA 92110-4638 2020-05-26
1023645645 Maria Marlene Aguinada Marriage & Family Therapist 3255 Wing St, San Diego, CA 92110-4638 2020-03-24
1124586813 Andrea Kamille Conanan Counselor 3255 Wing St, San Diego, CA 92110-4638 2019-03-12
1518430578 Marlene Nevarez Counselor 3255 Wing St, San Diego, CA 92110-4638 2019-01-02
1447720297 Daniela Ortiz Counselor 3255 Wing St, San Diego, CA 92110-4638 2018-12-04
1013487081 Mario Lavay Harris Counselor 3255 Wing St, San Diego, CA 92110-4638 2018-12-03
1407326861 Claudia Nemeth Counselor 3255 Wing St, San Diego, CA 92110-4638 2018-11-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669021713 Ruben Daniel Gutierrez Marriage & Family Therapist 4141 Pacific Coast Hwy, San Diego, CA 92110 2019-09-10
1548724081 Denise Ellen Thompson Counselor 3255 Wings Street, San Diego, CA 92110 2019-01-29
1801378716 Michelle Lisa Jean Crawford Student in an Organized Health Care Education/Training Program 3767 Central Avenue, San Diego, CA 92110 2018-09-06
1427539048 Allison Turrell Case Manager/Care Coordinator 4930 Naples Street, San Diego, CA 92110 2018-08-22
1750872768 Matthew Langworthy Physical Therapist 3405 Kenyon St Ste 212, San Diego, CA 92110 2018-05-24
1245748342 The One Health Boutique, LLC Chiropractor 5350 Riley St, San Diego, CA 92110 2018-01-11
1437670155 Monique A Fernandez Counselor 3132 Jefferson Street, San Diego, CA 92110 2017-07-03
1538510391 Mayu Winters Registered Nurse 853 Rosecrans St, San Diego, CA 92110 2016-06-23
1376998864 Briniti Ichull Specialist 3941 Kurtz St, San Diego, CA 92110 2016-05-03
1912352576 Healthcare Services, Inc. Substance Abuse Rehabilitation Facility 3880 Rosecrans Street, San Diego, CA 92110 2016-05-02
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Taxonomy Information

Taxonomy Code 253J00000X
Grouping Agencies
Classification Foster Care Agency

Taxonomy Definition

A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184948374 Walden Environment Foster Care Agency 8525 Gibbs Dr Ste 100, San Diego, CA 92123-1758 2010-03-17
1558548669 San Diego Youth Services Foster Care Agency 3255 Wing St Ste 500, San Diego, CA 92110-4642 2008-01-31
1730702259 Quest Programs, Inc. Foster Care Agency 3636 Camino Del Rio N Ste 150, San Diego, CA 92108-1709 2020-05-19
1033533435 1st Place Community Initiatives Foster Care Agency 350 10th Ave Ste 1000, San Diego, CA 92101-8705 2014-02-06
1487818035 San Diego Center for Children Foster Care Agency 3002 Armstrong St, San Diego, CA 92111 2008-07-14
1649469388 Lacuna, Inc. Foster Care Agency 3180 University Ave, 260, San Diego, CA 92104-2045 2007-10-18
1649304825 San Diego Youth Services Foster Care Agency 3255 Wing St, Suite 500, San Diego, CA 92110-4638 2007-03-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972110088 Wynspring Family Resource Center Foster Care Agency 2211 Park Towne Cir Ste 4, Sacramento, CA 95825-0414 2020-09-23
1285256438 Latino Family Institute, Inc. Foster Care Agency 1501 W Cameron Ave Ste 240, West Covina, CA 91790-2733 2020-05-11
1356984264 Garces Residential Care Services Foster Care Agency 7349 Milliken Ave # 140-223, Rancho Cucamonga, CA 91730-7435 2019-10-23
1265086094 The Heart Matters Foster Family Agency Foster Care Agency 21935 Van Buren St Ste B-7, Grand Terrace, CA 92313-5652 2019-07-30
1346892072 Nalcs Foster Care Agency 439 N Maclay Ave, San Fernando, CA 91340-2416 2019-07-12
1477105104 Nalcs Foster Care Agency 1085 W Badillo St, Covina, CA 91722-4112 2019-07-12
1407408131 Nalcs Foster Care Agency 322 W Katella Ave Ste 5-b, Orange, CA 92867-4759 2019-07-12
1316508542 Nalcs Foster Care Agency 5400 Pomona Blvd, Los Angeles, CA 90022-1717 2019-06-27
1427519784 Wayfinder Family Services Foster Care Agency 1045 Bonita Ave, La Verne, CA 91750-5109 2019-03-28
1437617784 Koinonia Foster Homes, Inc. Foster Care Agency 6331 King Rd, Loomis, CA 95650-8801 2019-03-06
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Competitor

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City SAN DIEGO
Zip Code 92110

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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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