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SAN DIEGO CENTER FOR RECREATION, INC.
NPI 1376165688
Clinic/Center - Adult Mental Health in San Diego, CA

Active since May 08, 2020
4535 QUANTICO AVE, SAN DIEGO, CA 92117(858) 882-7872 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Diego Center For Recreation, Inc. NPPES

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

SAN DIEGO CENTER FOR RECREATION, INC. (NPI 1376165688) is a healthcare organization registered as an adult mental health in San Diego, California and active in the NPI registry since May 2020. The organization maintains a secondary practice location in San Diego and lists Jeannette M Gilmore, Owner, as its authorized official.

NPPES Registry Identity

NPI1376165688
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSAN DIEGO CENTER FOR RECREATION, INC.
Location Address4535 QUANTICO AVESan Diego, CA 92117-3831
Mailing AddressPo Box 17369San Diego, CA 92177-7369
Phone(858) 882-7872
Organization SubpartNo
Authorized OfficialJeannette M GilmoreOwner · (858) 882-7872
Enumeration DateMay 8, 2020
NPPES CertifiedMay 8, 2020
✔ NPI 1376165688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4535 QUANTICO AVE, San Diego, CA 92117
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Secondary Practice Location 1

Location 15252 Balboa Ave Ste 304San Diego, CA 92117-6942 · Phone (858) 882-7872

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 San Diego Center For Recreation, Inc.'s NPI number?

The NPI number for San Diego Center For Recreation, Inc. is 1376165688. It was assigned to this organization in the NPPES registry on May 8, 2020.

Where is San Diego Center For Recreation, Inc. located?

San Diego Center For Recreation, Inc. is located at 4535 Quantico Ave, San Diego, CA 92117. The listed phone number is (858) 882-7872.

What is San Diego Center For Recreation, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for San Diego Center For Recreation, Inc. was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.