DIAMOND LODGE
NPI 1215119375
Community Based Residential Treatment Facility, Mental Illness in Sf, CA

Q: What is Diamond Lodge's NPI number?

The NPI number for Diamond Lodge is 1215119375. It was assigned to this organization in the NPPES registry on November 30, 2007.

Q: What is Diamond Lodge's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Diamond Lodge was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since November 30, 2007

20 ARLINGTON ST, SF, CA 94131(415) 285-0688 Get Directions Write a Review

NPPES record last updated: November 30, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Diamond Lodge NPPES

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

DIAMOND LODGE (NPI 1215119375) is a healthcare organization registered as a community based residential treatment facility, mental illness in Sf, California and active in the NPI registry since November 2007. The organization lists Annie Mayo Jacob, Owner Administrator, as its authorized official.

NPPES Registry Identity

NPI1215119375

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameDIAMOND LODGE

Location Address20 ARLINGTON STSf, CA 94131

Mailing Address1135 Tournament DriveSf, CA 94131 · (415) 285-0688 · Fax (415) 550-6492

Phone(415) 285-0688

Organization SubpartNo

Authorized OfficialAnnie Mayo JacobOwner Administrator · (415) 577-1004

Enumeration DateNovember 30, 2007

✔ NPI 1215119375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

20 ARLINGTON ST, Sf, CA 94131

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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 Diamond Lodge's NPI number?

The NPI number for Diamond Lodge is 1215119375. It was assigned to this organization in the NPPES registry on November 30, 2007.

Where is Diamond Lodge located?

Diamond Lodge is located at 20 Arlington St, Sf, CA 94131. The listed phone number is (415) 285-0688.

What is Diamond Lodge's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Diamond Lodge was last updated on November 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.