Provider Type Icon

SAN DIEGO COUNTY MEDICAL SERVICES PROGRAM NPI 1477672707


NPI Information

NPI: 1477672707
Provider Name: SAN DIEGO COUNTY MEDICAL SERVICES PROGRAM
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
8840 COMPLEX DR
SUITE 300
SAN DIEGO, CA
ZIP 92123
Phone: (858) 492-4422
Get Directions

SAN DIEGO COUNTY MEDICAL SERVICES PROGRAM is a public health or welfare in San Diego, CA. SAN DIEGO COUNTY MEDICAL SERVICES PROGRAM NPI is 1477672707. The provider is registered as an organization entity type.

The provider's business location address is:

8840 COMPLEX DR
SUITE 300
SAN DIEGO, CA
ZIP 92123-497
Phone: (858) 492-4422

The provider's authorized official is Terry Hogan .
The authorized official title is Chief Financial Officer and has the following contact phone number (619) 515-6555.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.


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
1251K00000XPublic Health or WelfareYes

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
1MIA370DMEMEDICAIDCALIFORNIA

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.