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SPACIENDA
NPI 1184306805
Clinic/Center in San Diego, CA

Active since August 02, 2023
5222 BALBOA AVE STE 43, SAN DIEGO, CA 92117(619) 389-2047 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spacienda NPPES

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

SPACIENDA (NPI 1184306805) is a healthcare organization registered as a clinic/center in San Diego, California and active in the NPI registry since August 2023. The organization lists Rebekah Abrahim, Owner, as its authorized official.

NPPES Registry Identity

NPI1184306805
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSPACIENDA
Location Address5222 BALBOA AVE STE 43San Diego, CA 92117-6956
Mailing Address975 Thermal AveSan Diego, CA 92154-1924 · (619) 261-3434
Phone(619) 389-2047
Organization SubpartNo
Authorized OfficialRebekah AbrahimOwner · (619) 389-2047
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1184306805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5222 BALBOA AVE STE 43, San Diego, CA 92117
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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.

NEXTGEN PSYCHE AND WELLNESS LLC
Nurse Practitioner (Psychiatric/Mental Health)
5222 BALBOA AVE STE 43
SAN DIEGO, CA 92117
San Diego County (626) 371-3053
KAILYN FLOWERS L.M.T
Massage Therapist
5222 BALBOA AVE STE 43
SAN DIEGO, CA 92117
San Diego County (858) 467-9893

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 Spacienda's NPI number?

The NPI number for Spacienda is 1184306805. It was assigned to this organization in the NPPES registry on August 2, 2023.

Where is Spacienda located?

Spacienda is located at 5222 Balboa Ave Ste 43, San Diego, CA 92117. The listed phone number is (619) 389-2047.

What is Spacienda's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Spacienda was last updated on August 2, 2023. 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.