JIM NEIL CALBID MARVIN
NPI 1639861214
Registered Nurse - Psychiatric/Mental Health, Adult in San Diego, CA
Active since May 23, 2023
About Jim Neil Calbid Marvin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JIM NEIL CALBID MARVIN (NPI 1639861214) is an individual psychiatric/mental health, adult provider in San Diego, California, licensed in California (95258328) and active in the NPI registry since May 2023.
NPPES Registry Identity
NPI1639861214
Entity TypeIndividualMale
Primary Taxonomy163WP0809X
Provider Legal NameJIM NEIL CALBID MARVIN
Location Address3853 ROSECRANS STSan Diego, CA 92110-3115
Mailing Address3853 Rosecrans StSan Diego, CA 92110-3115 · (619) 692-8232 · Fax (619) 542-4060
Phone(619) 692-8232
Fax(619) 542-4060
Sole ProprietorYes
Enumeration DateMay 23, 2023
NPPES CertifiedMay 23, 2023
✔ NPI 1639861214 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in CA · 95258328
3853 ROSECRANS ST, San Diego, CA 92110
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Community Based Residential Treatment Facility, Mental Illness
3853 ROSECRANS ST
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Day Training/Habilitation Specialist
3853 ROSECRANS ST
SAN DIEGO, CA 92110
SAN DIEGO, CA 92110
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639861214, enumerated as an "individual" on May 23, 2023.
The provider is located at 3853 ROSECRANS ST SAN DIEGO, CA 92110 and the phone number is (619) 692-8232.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.
