FASHION VALLEY CLINIC (NPI# 1952646697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952646697 |
| Entity Type | Organization |
| Organization Name | FASHION VALLEY CLINIC |
| Practice Address |
7020 Friars Rd San Diego CA 92108-1126 |
| Mailing Address |
7020 Friars Road San Diego CA 92108 |
| Practice Telephone | 6197189890 |
| Mailing Telephone | 6197189890 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |
| Authorized Official Name | MATTHEW FINCH (COUNSELOR) |
| Authorized Official Telephone | 6197189890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | Managed Care Organizations |
| Street Address |
7020 FRIARS RD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609997865 | Crc Health Group, Inc | Clinic/Center | 7020 Friars Rd, San Diego, CA 92108-1126 | 2007-04-03 |
| 1578937652 | Steven Rodriguez | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2015-11-30 |
| 1366847170 | Bryan Frazier | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2014-10-23 |
| 1376961953 | Toni Wells | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2014-04-01 |
| 1356766067 | Deborah Hamilton | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2014-03-04 |
| 1063845899 | Nicole Adzima | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2013-08-15 |
| 1962841775 | Cheryl-anne Maria Phillips | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2013-06-14 |
| 1487097960 | San Diego Treatment Services | Clinic/Center | 7020 Friars Rd, San Diego, CA 92108-1126 | 2013-04-15 |
| 1437494150 | Matthew Finch | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2012-12-06 |
| 1669770640 | Michael Wayne Bales | Counselor | 7020 Friars Rd, San Diego, CA 92108-1126 | 2011-03-01 |
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| 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 Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) 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 |
|---|---|---|---|---|
| 1538512744 | Azila Katherine Sabile Ortiz | Exclusive Provider Organization | 15260 Amalia St, San Diego, CA 92129-1228 | 2016-07-22 |
| 1992044036 | Reza Kasiri | Exclusive Provider Organization | 6755 Mira Mesa Blvd Ste 218, San Diego, CA 92121-4311 | 2013-02-09 |
| 1023103595 | County of San Diego | Exclusive Provider Organization | 1110 Carolina Lane, San Diego, CA 92102 | 2006-10-03 |
| 1356434112 | County of San Diego | Exclusive Provider Organization | 6991 Balboa Avenue, San Diego, CA 92111 | 2006-10-02 |
| 1023632023 | Sandra Clare Hudson | Exclusive Provider Organization | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2020-06-04 |
| 1609328368 | Robert M. Howard Optometrist Inc | Exclusive Provider Organization | 8022 Clairemont Mesa Blvd, San Diego, CA 92111-1615 | 2016-10-28 |
| 1598112708 | Ngk Corporation Dba Assisting Hands of San Diego | Exclusive Provider Organization | 16870 W Bernardo Dr Ste 400, San Diego, CA 92127-1678 | 2016-05-17 |
| 1821469347 | Kara Dodds and Associates | Exclusive Provider Organization | 7840 Mission Center Ct Ste 200, San Diego, CA 92108-1320 | 2015-10-09 |
| 1942620463 | Gastroenterology and Hepatology Medical Associates | Exclusive Provider Organization | 4060 Fourth Ave, Suite 240, San Diego, CA 92103-2116 | 2014-04-23 |
| 1932471125 | Richard L.kornberg, M.d.a Professional Corporation | Exclusive Provider Organization | 110 W Pennsylvania Ave, San Diego, CA 92103-4016 | 2012-02-02 |
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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.