Renova San Diego
NPI 1285362772 · Marriage & Family Therapist · San Diego, CA
Renova San Diego is a Marriage & Family Therapist organization in San Diego, CA (NPI 1285362772).
Provider details
- NPI number
- 1285362772
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Heather Pederson, Clinical Director(858) 522-0179
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Dr Ben Inouye and Dr Lisa J Palmer Foundation for Family
Registry dates
- Enumerated
- 2022-08-11
- Last updated
- 2022-08-11
- Certified
- 2022-08-11
Frequently asked questions
- What is Renova San Diego's NPI number?
- Renova San Diego's National Provider Identifier (NPI) is 1285362772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renova San Diego?
- Renova San Diego is classified in the NPPES registry as Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Renova San Diego located?
- Renova San Diego's practice location on file with NPPES is 12396 World Trade Dr Ste 109, San Diego, CA 92128-3787.
- What is Renova San Diego's phone number?
- The practice phone number listed in the NPPES registry for Renova San Diego is (619) 895-0509.
- Who is the authorized official for Renova San Diego?
- The authorized official listed on Renova San Diego's NPPES record is Heather Pederson, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renova San Diego's NPI active?
- Yes — Renova San Diego's NPI (1285362772) is active in the NPPES registry as of the last update on 2022-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.