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NASTASSJAVARGASLICENSEDCLINICALSOCIALWORKER.INC
NPI 1881278703
Clinic/Center - Adult Mental Health in San Diego, CA

Active since May 06, 2021
4075 PARK BLVD STE 102-156, SAN DIEGO, CA 92103(619) 786-6402 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nastassjavargaslicensedclinicalsocialworker.inc NPPES

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

NASTASSJAVARGASLICENSEDCLINICALSOCIALWORKER.INC (NPI 1881278703) is a healthcare organization registered as an adult mental health in San Diego, California and active in the NPI registry since May 2021. The organization lists Nastassja Rachelle Vargas, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1881278703
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameNASTASSJAVARGASLICENSEDCLINICALSOCIALWORKER.INC
Location Address4075 PARK BLVD STE 102-156San Diego, CA 92103-2670
Mailing Address4075 Park Blvd Ste 102-156San Diego, CA 92103-2670 · (619) 786-6402
Phone(619) 786-6402
Organization SubpartNo
Authorized OfficialNastassja Rachelle VargasOwner/director · (619) 786-6402
Enumeration DateMay 6, 2021
NPPES CertifiedMay 6, 2021
✔ NPI 1881278703 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.
4075 PARK BLVD STE 102-156, San Diego, CA 92103
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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 Nastassjavargaslicensedclinicalsocialworker.Inc's NPI number?

The NPI number for Nastassjavargaslicensedclinicalsocialworker.Inc is 1881278703. It was assigned to this organization in the NPPES registry on May 6, 2021.

Where is Nastassjavargaslicensedclinicalsocialworker.Inc located?

Nastassjavargaslicensedclinicalsocialworker.Inc is located at 4075 Park Blvd Ste 102-156, San Diego, CA 92103. The listed phone number is (619) 786-6402.

What is Nastassjavargaslicensedclinicalsocialworker.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 Nastassjavargaslicensedclinicalsocialworker.Inc was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.