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IMPACT NPI 1477175883


NPI Information

NPI: 1477175883
Provider Name: IMPACT

Other Name: COMMUNITY RESEARCH FOUNDATION

Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Organization
Address:
1260 MORENA BLVD STE 100
SAN DIEGO, CA
ZIP 92110
Phone: (619) 232-4357
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IMPACT is a licensed practical nurse in San Diego, CA. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. IMPACT NPI is 1477175883. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Community Research Foundation.

The provider's business location address is:

1260 MORENA BLVD STE 100
SAN DIEGO, CA
ZIP 92110-850
Phone: (619) 232-4357

The provider's authorized official is Tessa Sanchez .
The authorized official title is Lead Hr Specialist -onboarding and has the following contact phone number (619) 275-0822.

The enumeration date for this NPI number is 5/8/2020 and was last updated on 10/14/2021.


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
1101YM0800XCounselorMental HealthNo
2251S00000XCommunity/Behavioral HealthNo
3164W00000XLicensed Practical NurseYes

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
1201902804LPNOTHEROREGONLICENSE PRACTICAL NURSE
2VN719792OTHERCALIFORNIALICENSE VOCATIONAL NURSE
3719792OTHERCALIFORNIACALIFORNIA BOARD OF VOCATIONAL NURSING AND PSYCHIATRIC TECHNICIANS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.