Organization
COMMUNITY ELDERCARE SAN DIEGO
Active
Organization
COMMUNITY ELDERCARE SAN DIEGO
Active
Other names
St. Paul's PACE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA JOY GOIS (MARKETING DIRECTOR)
(619) 677-3800
Entity
Organization
Contact information
Practice address
111 ELM ST, SAN DIEGO, CA 92101-2692
(619) 677-3800
(619) 781-8186
Mailing address
111 ELM ST, SAN DIEGO, CA 92101-2692
(619) 677-3800
(619) 781-8186
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
550001964
CA
305R00000X
Preferred Provider Organization
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057
—
CA
Enumeration date
04/02/2013
Last updated
04/02/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up