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ROOSEVELT ULLOAVALDIVIESO
NPI 1538559281
Counselor - Mental Health in San Diego, CA

Active since February 03, 2015
6160 MISSION GORGE RD STE 108, SAN DIEGO, CA 92120(619) 481-5200 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roosevelt Ulloavaldivieso NPPES

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

ROOSEVELT ULLOAVALDIVIESO (NPI 1538559281) is an individual mental health provider in San Diego, California and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1538559281
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameROOSEVELT ULLOAVALDIVIESO
Location Address6160 MISSION GORGE RD STE 108San Diego, CA 92120-3425
Mailing Address6160 Mission Gorge Rd Ste 108San Diego, CA 92120-3425 · (619) 481-5200 · Fax (619) 481-5217
Phone(619) 481-5200
Sole ProprietorYes
Enumeration DateFebruary 3, 2015
✔ NPI 1538559281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6160 MISSION GORGE RD STE 108, San Diego, CA 92120
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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.

ALEXIS LOPEZ
Social Worker (Clinical)
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
MS. ANJELIKA LEIGH FERGERSON
Case Manager/Care Coordinator
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
VERTA SADLER
Counselor
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
ANGELICA ELISE BOYLES
Case Manager/Care Coordinator
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
GREGORY LAUBACH
Adult Companion
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
CRIS OSBERTO LIRA
Rehabilitation Practitioner
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
CHRISTOPHER HAWKINS
Counselor
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200
RAE STEVENS
Marriage & Family Therapist
6160 MISSION GORGE RD STE 108
SAN DIEGO, CA 92120
San Diego County (619) 481-5200

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 Roosevelt Ulloavaldivieso's NPI number?

The NPI number for Roosevelt Ulloavaldivieso is 1538559281. It was assigned to this individual provider in the NPPES registry on February 3, 2015.

Where is Roosevelt Ulloavaldivieso located?

Roosevelt Ulloavaldivieso practices at 6160 Mission Gorge Rd Ste 108, San Diego, CA 92120. The listed phone number is (619) 481-5200.

What is Roosevelt Ulloavaldivieso's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Roosevelt Ulloavaldivieso was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.