SAN DIEGO AMERICAN INDIAN HEALTH CENTER
NPI 1003902917
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Q: What is San Diego American Indian Health Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since October 05, 2006CLIA 05D0880869 · Microscopy

2630 1ST AVE, SAN DIEGO, CA 92103(619) 234-2158(619) 234-0206 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About San Diego American Indian Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN DIEGO AMERICAN INDIAN HEALTH CENTER (NPI 1003902917), doing business as San Diego Community Health Center, is a healthcare organization registered as an addiction (substance use disorder) in San Diego, California and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through April 19, 2027 and lists Tami Bereki, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003902917

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameSAN DIEGO AMERICAN INDIAN HEALTH CENTER

Location Address2630 1ST AVESan Diego, CA 92103-6599

Mailing Address2630 1st AveSan Diego, CA 92103-6599 · (619) 234-2158 · Fax (619) 234-0206

Phone(619) 234-2158

Fax(619) 234-0206

Organization SubpartNo

Authorized OfficialTami BerekiCfo · (909) 921-3808

Enumeration DateOctober 5, 2006

Last NPPES UpdateNovember 7, 2025

NPPES CertifiedNovember 7, 2025

✔ NPI 1003902917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X · License LCS17413 (CA)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedChiropractorTaxonomy 111N00000X

Also ListedDentistTaxonomy 122300000X · License 57514 (CA)

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 58278 (CA)

Also ListedNutritionistTaxonomy 133N00000X

Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X

Also ListedAcupuncturistTaxonomy 171100000X

Also ListedSpecialistTaxonomy 174400000X · License G23820A (CA)

Also ListedInternal MedicineTaxonomy 207R00000X · License A78887 (CA)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A107921 (CA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 20936 (CA)

2630 1ST AVE, San Diego, CA 92103

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Other Names 1

Doing Business AsSan Diego Community Health Center

Other Identifiers 4

MedicaidFHC70019FCA

MedicaidBCP70019FCA

MedicaidEAPC70019FCA

MedicaidHAP70019FCA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0880869

San Diego American Indian Health Center · San Diego, CA

Active · expires Apr 19, 2027

CLIA Number05D0880869

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateApril 20, 2025

Certificate Expiration DateApril 19, 2027

Laboratory DirectorChevon Alderson

Laboratory Phone(619) 234-1521

Laboratory LocationSan Diego American Indian Health Center2630 1st Avenue, San Diego, CA 92103

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY MARIE SCOTT PMHNP

Nurse Practitioner (Psychiatric/Mental Health)