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SAN DIEGO AMERICAN INDIAN HEALTH CENTER NPI 1003902917


NPI Information

NPI: 1003902917
Provider Name: SAN DIEGO AMERICAN INDIAN HEALTH CENTER
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
2630 1ST AVE
SAN DIEGO, CA
ZIP 92103
Phone: (619) 234-2158
Get Directions

SAN DIEGO AMERICAN INDIAN HEALTH CENTER is a psychiatry psychiatry neurology in San Diego, CA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. SAN DIEGO AMERICAN INDIAN HEALTH CENTER NPI is 1003902917. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2630 1ST AVE
SAN DIEGO, CA
ZIP 92103-599
Phone: (619) 234-2158
Fax: (619) 234-0206

The provider's authorized official is Joseph Bulfer .
The authorized official title is Executive Director and has the following contact phone number (619) 234-2158.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 4/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerLCS23330CALIFORNIANo
2104100000XSocial WorkerLCS17413CALIFORNIANo
3174400000XSpecialistG23820ACALIFORNIANo
4207R00000XInternal MedicineA78887CALIFORNIANo
5363LF0000XNurse PractitionerFamily20936CALIFORNIANo
6122300000XDentist57514CALIFORNIANo
71223G0001XDentistGeneral Practice58278CALIFORNIANo
82084P0800XPsychiatry & NeurologyPsychiatryA107921CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EAPC70019FMEDICAIDCALIFORNIA
2HAP70019FMEDICAIDCALIFORNIA
3BCP70019FMEDICAIDCALIFORNIA
4FHC70019FMEDICAIDCALIFORNIA
5551041MEDICARE PINCALIFORNIA
6W6204MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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