SAN DIEGO AMERICAN INDIAN HEALTH CENTER
SAN DIEGO AMERICAN INDIAN HEALTH CENTER is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003902917, based in San Diego, CA. The organization lists 14 taxonomy classifications, with Addiction (Substance Use Disorder) Counselor recorded as primary.
Getting there
The practice address on file is 2630 1ST AVE, San Diego, CA 92103. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A78887 | CA | Internal Medicine Physician |
| A107921 | CA | Psychiatry Physician |
| 57514 | CA | Dentist |
| LCS17413 | CA | Social Worker |
| G23820A | CA | Specialist |
| 20936 | CA | Family Nurse Practitioner |
| 58278 | CA | General Practice Dentistry |
This provider holds licence A78887 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9830096411
Enrolled in Medicare 2 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| California | O20031212000923 | Part B Supplier - Clinic/group Practice |
| California | O20170103000212 | Part A Provider - Federally Qualified Health Center (fqhc) |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Addiction (Substance Use Disorder) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
All registered taxonomy codes
This provider registers 14 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | A78887 | CA | |
| 2084P0800X | Psychiatry Physician Psychiatry | A107921 | CA | |
| 111N00000X | Chiropractor | — | — | |
| 122300000X | Dentist | 57514 | CA | |
| 133N00000X | Nutritionist | — | — | |
| 104100000X | Social Worker | LCS17413 | CA | |
| 171100000X | Acupuncturist | — | — | |
| 174400000X | Specialist | G23820A | CA | |
| 163WC1500X | Community Health Registered Nurse Community Health | — | — | |
| 101YM0800X | Mental Health Counselor Mental Health | — | — | |
| 363LF0000X | Family Nurse Practitioner Family | 20936 | CA | |
| 1223G0001X | General Practice Dentistry General Practice | 58278 | CA | |
| 106H00000X | Marriage & Family Therapist | — | — | |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | — | — | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003902917 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 5, 2006 |
| Last updated | Nov 7, 2025 |
| Status | Active |
| Practice address |
2630 1ST AVE San Diego, CA 92103 (619) 234-2158 Fax (619) 234-0206 |
| Other names |
San Diego Community Health Center Former Legal Name |
| Other identifiers |
BCP70019F
· Medicaid (CA) EAPC70019F · Medicaid (CA) FHC70019F · Medicaid (CA) HAP70019F · Medicaid (CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 9 | 0 | 2 | 9 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 9 | 0 | 4 | 9 | 2 |
Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.