Catholic Charities San Bernardino/Riverside

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CATHOLIC CHARITIES SAN BERNARDINO/RIVERSIDE

Practice address

23623 Sunnymead Blvd
Suite E
Moreno Valley, CA 92553-3083

Phone

(951) 924-9964

Fax

(951) 924-9997

NPI assigned

Nov 12, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ken F. Sawa, LCSW

Title

Ceo/Executive Vice-President

Phone

(909) 388-1239

Specialties & licenses 1

Addresses

Tax ID family

Catholic Charities San Bernardinoriverside3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Catholic Charities San Bernardino & Riverside Counties

  • Community Health Worker
  • San Bernardino, CA
  • NPI 1669788295
  NPD tax ID
• Catholic Charities San Bernardino/Riverside

  • Community/Behavioral Health Agency
  • Indio, CA
  • NPI 1831490465
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1013218643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054739",
            "telephone_number": "909-388-1239",
            "fax_number": "909-384-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23623 SUNNYMEAD BLVD",
            "address_2": "SUITE E",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533083",
            "telephone_number": "951-924-9964",
            "fax_number": "951-924-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES SAN BERNARDINO/RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "SAWA",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO/EXECUTIVE VICE-PRESIDENT",
        "authorized_official_telephone_number": "909-388-1239",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Castelo
• David Castillo, D.D.S
• Giuseppe Marcello Castro, REGISTERED NURSE
• Lony Castro, M.D.
• Mary Dawn de Castro, M.D.
• Tonia Cato Cantrell, DDS
• Jaaval Shaune Cato
• Benjamin John Caudill, RN, MSN, FNP-C
• Lanicee Causly
• Bonnie Cazares

• Community/Behavioral Health Agency in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.