PRIMARY CARE HEALTH NETWORK LLC (NPI# 1598122871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598122871 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE HEALTH NETWORK LLC |
| Other Organization Name | INTEGRATED HEALTH PARTNERS |
| Practice Address |
7535 Metropolitan Dr San Diego CA 92108-4402 |
| Practice Telephone | 6195424300 |
| Practice Fax Number | 6195424377 |
| Mailing Telephone | 6195424300 |
| Mailing Fax Number | 6195424377 |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |
| Authorized Official Name | MR. HENRY TUTTLE (CEO) |
| Authorized Official Telephone | 6195424343 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNCIL OF COMMUNITY CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Integrated Health Partners | Doing Business As Name - Organization |
| Street Address |
7535 METROPOLITAN DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780148692 | North County Therapy for Young Men | Case Management | 5985 El Cajon Blvd, San Diego, CA 92115-3827 | 2019-01-24 |
| 1518444900 | Life Resource and Developement | Case Management | 3295 Meade Ave, San Diego, CA 92116-4557 | 2018-07-27 |
| 1083163067 | Sober Coaches of California LLC | Case Management | 5980 Dandridge Ln, Unit 208, San Diego, CA 92115-6580 | 2016-10-01 |
| 1689121972 | Ebony P Brown | Case Management | 3725 Old Cobble Rd, San Diego, CA 92111-4051 | 2016-09-05 |
| 1033545066 | Christie's Place, Inc. | Case Management | 2440 3rd Ave, San Diego, CA 92101-1516 | 2013-09-23 |
| 1235400490 | Family Youth Roundtable of San Diego County | Case Management | 345 15th St, Suite A, San Diego, CA 92101-8951 | 2012-01-19 |
| 1831467752 | Marylin Joy Williams | Case Management | 4851 Casals Pl, San Diego, CA 92124-1502 | 2011-12-06 |
| 1144509878 | International Care LLC | Case Management | 200 Harbor Dr, #501, San Diego, CA 92101-7049 | 2011-08-11 |
| 1679875710 | Heavenly Angels Home Care | Case Management | 4709 Mount Abernathy Ave, San Diego, CA 92117-3340 | 2010-11-22 |
| 1629379581 | San Diego Youth Services | Case Management | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2010-11-09 |
| 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.