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SAN DIEGO SECOND CHANCE PROGRAM
NPI 1477044709
Community/Behavioral Health in San Diego, CA

Active since May 22, 2018
6145 IMPERIAL AVE, SAN DIEGO, CA 92114(619) 234-8888 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2023, May 22, 2018 (2 updates tracked since 2018).

About San Diego Second Chance Program NPPES

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

SAN DIEGO SECOND CHANCE PROGRAM (NPI 1477044709) is a healthcare organization registered as a community/behavioral health in San Diego, California and active in the NPI registry since May 2018. The organization lists Bill Payne, Executive Director & Ceo, as its authorized official.

NPPES Registry Identity

NPI1477044709
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameSAN DIEGO SECOND CHANCE PROGRAM
Location Address6145 IMPERIAL AVESan Diego, CA 92114
Mailing Address6145 Imperial AveSan Diego, CA 92114 · (619) 234-8888
Phone(619) 234-8888
Organization SubpartNo
Authorized OfficialBill PayneExecutive Director & Ceo · (619) 234-8888
Enumeration DateMay 22, 2018
Last NPPES UpdateFebruary 17, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1477044709 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.
6145 IMPERIAL AVE, San Diego, CA 92114
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Other Providers at the Same Location NPPES 20

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

SAN DIEGO SECOND CHANCE PROGRAM
Community/Behavioral Health
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
San Diego County (619) 234-8888
LUZ GUADALUPE PORTUGAL
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
San Diego County (619) 234-8888
DAVID ROMO
Case Manager/Care Coordinator
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
San Diego County (619) 839-0939
MR. DANIEL PARADA ESPINOSA
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
San Diego County (619) 234-8888
RAVEN XOCHIQUETZAL SOLTERO
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
San Diego County (619) 234-8888
YADIRA RAMIREZ
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
San Diego County (619) 839-0935
LORI LEIGH WILBORN
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
San Diego County (619) 234-8888
SAMANTHA BELLE GONZALEZ
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
San Diego County (619) 234-8888

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 Second Chance Program's NPI number?

The NPI number for San Diego Second Chance Program is 1477044709. It was assigned to this organization in the NPPES registry on May 22, 2018.

Where is San Diego Second Chance Program located?

San Diego Second Chance Program is located at 6145 Imperial Ave, San Diego, CA 92114. The listed phone number is (619) 234-8888.

What is San Diego Second Chance Program'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 San Diego Second Chance Program was last updated on February 17, 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.