SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL (NPI# 1720343429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720343429 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO COUNTY PSYCHIATRIC HOSPITAL |
| Practice Address |
3853 Rosecrans St San Diego CA 92110-3115 |
| Practice Telephone | 6196928232 |
| Practice Fax Number | 6195424060 |
| Mailing Telephone | 6196928232 |
| Mailing Fax Number | 6195424060 |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |
| Authorized Official Name | MR. ARI VIGBORN (RN - PSYCH/MENTAL HEALTH) |
| Authorized Official Telephone | 6196928232 |
| Authorized Official Credential | REGISTERED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 163WP0809X | CA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689968737 | San Diego County Psychiatric Hospital | Licensed Psychiatric Technician | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2011-06-07 |
| 1073817631 | San Diego County Psychiatric Hospital | Psychiatric Hospital | 3851 Rosecrans St, San Diego, CA 92110-3134 | 2010-12-22 |
| 1467752840 | San Diego County Psychiatric Hospital | Psychiatric Unit | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2010-11-01 |
| Street Address |
3853 ROSECRANS ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750490645 | Nicole Marie Lanouette | Psychiatry & Neurology | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2006-08-30 |
| 1396345260 | Jamson Jaeger Deloria Abella | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-29 |
| 1588262158 | Kyle Alvin Pedines Marmolejo | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-15 |
| 1972101129 | Robert James Dodson | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-10 |
| 1114524402 | Ma Rosa Nika Z Paet | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-08 |
| 1164029740 | Charmaine Lim Solmerano | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-10-06 |
| 1609483858 | Bethany Anne Higgins | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-30 |
| 1972110609 | Shannon M Keene | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-27 |
| 1396352449 | Connor Louis Kleis | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-23 |
| 1396351284 | Lourdes Marie Terry | Registered Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-16 |
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| 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 Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689868010 | Prime Healthcare Paradise Valley Hospital | Psychiatric Hospital | 2001 Rimbey Avenue, Class Room #27, San Diego, CA 92154-3099 | 2007-08-29 |
| 1336342757 | Teresita Roxas Ramil | Psychiatric Hospital | 13073 War Bonnet St, San Diego, CA 92129-2350 | 2007-06-06 |
| 1679697593 | Oliver Abbas Ahmadpour | Psychiatric Hospital | 3688 Governor Dr, San Diego, CA 92122-2418 | 2007-03-17 |
| 1558834374 | Bh-sdopco, LLC | Psychiatric Hospital | 1250 6th Ave, San Diego, CA 92101-4300 | 2019-01-03 |
| 1306319116 | Bh-sdopco, LLC | Psychiatric Hospital | 5538 University Ave, San Diego, CA 92105-2307 | 2019-01-03 |
| 1427452531 | Ann-sofie Linnea Ebenfelt | Psychiatric Hospital | 11878 Avenue of Industry, San Diego, CA 92128-3423 | 2014-10-17 |
| 1649562422 | 3853 Rosecrans St | Psychiatric Hospital | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2011-05-11 |
| 1073817631 | San Diego County Psychiatric Hospital | Psychiatric Hospital | 3851 Rosecrans St, San Diego, CA 92110-3134 | 2010-12-22 |
| 1962734475 | Sdcph | Psychiatric Hospital | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2010-02-08 |
| 1053549998 | Shahida Parveen | Psychiatric Hospital | 3420 Kenyon St, San Diego, CA 92110-5001 | 2009-06-30 |
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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.