Active NPI
Afestin Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Anaheim, CA
National Provider Identifier
1003360900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 306005200
- Legal business name
- AFESTIN INC.
- Practice address
- 2107 W Grayson Ave
Anaheim, CA 92801-1621 - Phone
- (714) 817-9424
- NPI assigned
- Aug 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alexander Dinglasan Festin Jr.
- Title
- President
- Phone
- (714) 930-5738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 306005200 | CA | Primary |
Addresses
Primary practice location
2107 W Grayson Ave
Anaheim, CA 92801-1621
Mailing address
2107 W Grayson Ave
Anaheim, CA 92801-1621
Phone (714) 817-9424
Other names 1
- AFESTIN HOMES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479254400000",
"number": "1003360900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 W GRAYSON AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011621",
"telephone_number": "714-817-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 W GRAYSON AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011621",
"telephone_number": "714-817-9424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFESTIN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-09",
"last_updated": "2016-11-16",
"status": "A",
"authorized_official_last_name": "FESTIN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "DINGLASAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-930-5738",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "CA",
"license": "306005200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AFESTIN HOMES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.