South Bay Impact

LBN: Community Research Foundation, Inc.
South Bay Impact is an health care organization with primary practice located at 855 3Rd Ave Ste 1110 , Chula Vista CA 91911-1350. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Community Research Foundation, Inc. can be contacted via phone (619) 934-5770, or through Farmer, Jack via phone (619) 275-0822.

Contact Information

Primary practice address
855 3Rd Ave Ste 1110 Chula Vista CA 91911-1350
Phone: (619) 934-5770
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farmer, Jack
Phone: (619) 275-0822

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1326551490
LBN Legal business name Community Research Foundation, Inc.
DBA Doing business as South Bay Impact
Authorized official Farmer, Jack
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2017
Last updated Dec 5th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326551490 NPPES
California MEDICAID 37RR

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