SOUTH BAY IMPACT
NPI 1326551490
Community/Behavioral Health in Chula Vista, CA
NPI Status: Active since November 13, 2017
Contact Information
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
Phone: (619) 934-5770
- Organization
- Community/Behavioral Health
About SOUTH BAY IMPACT
This page provides the complete NPI Profile along with additional information for South Bay Impact, a provider established in Chula Vista, California operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1326551490 assigned on November 2017. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as South Bay Impact. The authorized official of this NPI record is Jack Farmer (Chief Administrative Officer)
- NPI
- 1326551490
- Provider Legal Name
- COMMUNITY RESEARCH FOUNDATION, INC.
- Other Organization Name
- SOUTH BAY IMPACT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 855 3RD AVE STE 1110 CHULA VISTA, CA 91911
- Location Phone
- (619) 934-5770
- Mailing Address
- 1202 MORENA BLVD SAN DIEGO, CA 92110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-13-2017
- Last Update Date
- 12-05-2022
- Code Navigator
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
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- Taxonomy Description
- 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.
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 |
---|---|---|---|
37RR | MEDICAID (05) | CA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 2 | 6 | 5 | 5 | 1 | 4 | 9 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 4 | 6 | 10 | 5 | 2 | 4 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 4 + 6 + 1 + 0 + 5 + 2 + 4 + 1 + 8 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1326551490 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
VIVIANA S REYNOSO MS, LMFT
Marriage & Family Therapist
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
LUANA HINKEL
Registered Nurse
(Psychiatric/Mental Health, Adult)
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
MR. ED GONZALEZ
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
JUAN DAVID GARCIA
Counselor
(Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
ARLENE EUGENIA CADET
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
CAROLINA ALVARADO
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
DAVID ANDREW BERWICK
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
ADRALY VIRGINIA RODRIGUEZ
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
MRS. HAYLEY LAYTON MSW, ASW
Counselor
(Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
LESLIE ALEJANDRA CASTANEDA
Peer Specialist
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
MRS. VOLANDA KAY PREACELY
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
KSENIA NAWROCKI MD
Psychiatry & Neurology
(Psychiatry)
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
MS. KENDRA SIMONE TAYLOR
Counselor
(Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
CHRISTINE PETROLATI
Behavior Technician
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
TAYLOR CHRISTINE SPENCER
Counselor
(Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
ZHANIE DARL LIM DOLIENTE MHA
Counselor
(Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
NEKISHA MICHELLE KEE MSW
Counselor
(Mental Health)
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
JORGE AVALOS
Social Worker
(Clinical)
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
ELISHA JANELL HERNANDEZ RN
Registered Nurse
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
TARYN MARIE HEYLMAN
Case Manager/Care Coordinator
855 3RD AVE STE 1110
CHULA VISTA, CA
ZIP 91911
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326551490, enumerated as an "organization" on November 13, 2017.
The provider is located at 855 3RD AVE STE 1110 CHULA VISTA, CA 91911 and the phone number is (619) 934-5770.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.