SAN DIEGO HEALTH ALLIANCE


Address: 7545 Metropolitan Dr, San Diego, CA 92108-4402
Phone: 6197189890

SAN DIEGO HEALTH ALLIANCE (NPI# 1700989829) 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) 1700989829
Entity Type Organization
Organization Name SAN DIEGO HEALTH ALLIANCE
Other Organization Name FASHION VALLEY CLINIC
Practice Address 7545 Metropolitan Dr
San Diego
CA 92108-4402
Mailing Address 6185 Paseo Del Norte
Ste 150
Carlsbad
CA 92011-1155
Practice Telephone 6197189890
Practice Fax Number 6197189897
Mailing Telephone 8552592288
Mailing Fax Number 6197189897
Enumeration Date 2006-09-06
Last Update Date 2020-01-15
Authorized Official Name KIM SANDERSON (INTERIM PRESIDENT, CTC DIVISION)
Authorized Official Telephone 8552592288
Is Organization Subpart Y
Parent Organization Name ACADIA HEALTHCARE COMPANY, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
37-15 CA Ambulatory Health Care Facilities
Y 261QM2800X Clinic/Center
Specialization: Methadone Clinic
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Fashion Valley Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780787747 San Diego Health Alliance Clinic/Center 1560 Capalina Clinic, San Marcos, CA 92069 2006-09-06
1386753655 San Diego Health Alliance Clinic/Center 234 N Magnolia Ave, El Cajon, CA 92020-3906 2006-08-30
1649316910 San Diego Health Alliance Clinic/Center 234 N Magnolia Ave, El Cajon, CA 92020-3906 2007-01-30

Office Location

Street Address 7545 METROPOLITAN DR
City SAN DIEGO
State CA
Zip Code 92108-4402

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952929390 Regina Knox Counselor 7545 Metropolitan Dr, San Diego, CA 92108-4402 2020-07-13
1992320998 Jonathan Ying-eyu Lee Physician Assistant 7545 Metropolitan Dr, San Diego, CA 92108-4402 2020-06-15
1912529454 Nicole Jupiter Counselor 7545 Metropolitan Dr, San Diego, CA 92108-4402 2020-05-06
1013538560 Rebecca Gunn Counselor 7545 Metropolitan Dr, San Diego, CA 92108-4402 2020-05-06
1568081685 Daniel Arturo Hopper Counselor 7545 Metropolitan Dr, San Diego, CA 92108-4402 2020-04-09
1386276871 Monique Manisha Mangal Licensed Vocational Nurse 7545 Metropolitan Dr, San Diego, CA 92108-4402 2020-02-12
1215599857 Lissette M Flores Counselor 7545 Metropolitan Dr, San Diego, CA 92108-4402 2019-07-03
1588226443 Martha Lidia Barrow Counselor 7545 Metropolitan Dr, San Diego, CA 92108-4402 2019-07-01
1982178679 Alex Chapman Counselor 7545 Metropolitan Dr, San Diego, CA 92108-4402 2019-01-15
1245709732 Margaret Mary Hiel Licensed Vocational Nurse 7545 Metropolitan Dr, San Diego, CA 92108-4402 2018-11-14
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM2800X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Methadone Clinic

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679802789 Crc Health Clinic/Center 7020 Friars Road, San Diego, CA 92108 2009-12-18
1609997865 Crc Health Group, Inc Clinic/Center 7020 Friars Rd, San Diego, CA 92108-1126 2007-04-03
1932251550 Progressive Medical Specialists LLC Clinic/Center 4974 El Cajon Blvd, Suite A, San Diego, CA 92115-4677 2007-01-16
1780153882 Akua Behavioral Health, Inc Clinic/Center 2754 Imperial Ave, San Diego, CA 92102-4031 2018-11-19
1477998136 Juan Angel Graciano Clinic/Center 3940 Home Ave, San Diego, CA 92105-5952 2013-05-07
1487097960 San Diego Treatment Services Clinic/Center 7020 Friars Rd, San Diego, CA 92108-1126 2013-04-15
1285986430 Crc Home Avenue Clinic Clinic/Center 3940 Home Ave, San Diego, CA 92105-5952 2012-10-12
1326379926 Armt Medical Specialists, Inc Clinic/Center 4974 El Cajon Blvd, Suite A, San Diego, CA 92115-4654 2010-01-21
1457533747 Progressive Medical Specialists Clinic/Center 4974 El Cajon Blvd, Suite A, San Diego, CA 92115-4677 2007-11-29
1285821389 Duangtavan Sourivong Clinic/Center 3940 Home Ave, San Diego, CA 92105-5952 2007-10-02
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Competitor

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City SAN DIEGO
Zip Code 92108

Improve Information

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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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