SAN DIEGO AMERICAN INDIAN HEALTH CENTER
NPI 1003902917
Counselor - Addiction (Substance Use Disorder) in San Diego, CA
NPI Status: Active since October 05, 2006
Contact Information
2630 1ST AVE
SAN DIEGO, CA
ZIP 92103
Phone: (619) 234-2158
Fax: (619) 234-0206
- Organization
- Counselor
- Addiction (Substance Use Disorder)
- CLIA Number: 05D0880869
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 04-19-2027
About SAN DIEGO AMERICAN INDIAN HEALTH CENTER
This page provides the complete NPI Profile along with additional information for San Diego American Indian Health Center, a provider established in San Diego, California operating as a Counselor, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1003902917 assigned on October 2006. The practitioner's primary taxonomy code is 101YA0400X. The provider is registered as an organization and their NPI record was last updated one year ago. San Diego American Indian Health Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Tami Bereki (Cfo)
- NPI
- 1003902917
- Provider Name
- SAN DIEGO AMERICAN INDIAN HEALTH CENTER
- Entity Type
- Organization
- Location Address
- 2630 1ST AVE SAN DIEGO, CA 92103
- Location Phone
- (619) 234-2158
- Location Fax
- (619) 234-0206
- Mailing Address
- 2630 1ST AVE SAN DIEGO, CA 92103
- Mailing Phone
- (619) 234-2158
- Mailing Fax
- (619) 234-0206
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 11-07-2025
- Code Navigator
A Substance Abuse or Addiction Counselor like San Diego American Indian Health Center advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | LCS17413 (CA) |
| 3 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 4 | 111N00000X | Chiropractic Providers | Chiropractor | |
| 5 | 122300000X | Dental Providers | Dentist | 57514 (CA) |
| 6 | 1223G0001X | Dental Providers | Dentist | 58278 (CA) |
| 7 | 133N00000X | Dietary & Nutritional Service Providers | Nutritionist | |
| 8 | 163WC1500X | Nursing Service Providers | Registered Nurse | |
| 9 | 171100000X | Other Service Providers | Acupuncturist | |
| 10 | 174400000X | Other Service Providers | Specialist | G23820A (CA) |
| 11 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | A78887 (CA) |
| 12 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | A107921 (CA) |
| 13 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 20936 (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC70019F | MEDICAID (05) | CA | |
| BCP70019F | MEDICAID (05) | CA | |
| EAPC70019F | MEDICAID (05) | CA | |
| HAP70019F | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0880869
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- April 20, 2025
- Certificate Expiration Date
- April 19, 2027
- Laboratory Director
- CHEVON ALDERSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to San Diego American Indian Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003902917, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003902917, enumerated as an "organization" on October 05, 2006.
The provider is located at 2630 1ST AVE SAN DIEGO, CA 92103 and the phone number is (619) 234-2158.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
