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SAN DIEGO HIGH
NPI 1013363035
Community/Behavioral Health in San Diego, CA

Active since May 09, 2016
1405 PARK BLVD, BUILDING 100, SAN DIEGO, CA 92101(619) 521-5720 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2022, May 9, 2016 (2 updates tracked since 2016).

About San Diego High NPPES

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

SAN DIEGO HIGH (NPI 1013363035) is a healthcare organization registered as a community/behavioral health in San Diego, California and active in the NPI registry since May 2016. The organization lists Courtney Boatman, Program Director, as its authorized official.

NPPES Registry Identity

NPI1013363035
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameUPAC TRC
Location Address1405 PARK BLVD, BUILDING 100San Diego, CA 92101-4722
Mailing Address3288 El Cajon Blvd Ste 13San Diego, CA 92104-1430 · (619) 521-5720
Phone(619) 521-5720
Organization SubpartYesParent: Union Of Pan Asian Communities
Authorized OfficialCourtney BoatmanProgram Director · (619) 521-5720
Enumeration DateMay 9, 2016
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
✔ NPI 1013363035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1405 PARK BLVD, San Diego, CA 92101
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Other Names 1

Other NameSan Diego High

Other Identifiers 1

Medicaid8585CA

Other Providers at the Same Location NPPES 2

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

NOAH LAMADRID ATC
Specialist/Technologist (Athletic Trainer)
1405 PARK BLVD
SAN DIEGO, CA 92101
San Diego County (808) 651-3865
BEVERLYN BAER
Health and Wellness Coach
1405 PARK BLVD
SAN DIEGO, CA 92101
San Diego County (619) 560-4610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upac Trc's NPI number?

The NPI number for Upac Trc is 1013363035. It was assigned to this organization in the NPPES registry on May 9, 2016. The provider is also known as San Diego High.

Where is Upac Trc located?

Upac Trc is located at 1405 Park Blvd Building 100, San Diego, CA 92101. The listed phone number is (619) 521-5720.

What is Upac Trc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Upac Trc was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.