NPIMap

Organization Active NPI

County of San Bernardino

Doing business as Fontana CHOICE Substance Use Disorder Treatment

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fontana, CA
National Provider Identifier
1013272558
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COUNTY OF SAN BERNARDINO
Doing business as
Fontana CHOICE Substance Use Disorder Treatment
Practice address
17830 Arrow Blvd
Fontana, CA 92335
Phone
(909) 356-6439
Fax
(909) 890-0435
NPI assigned
Jul 11, 2012
Last updated
Jun 17, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SAN BERNARDINOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Erica Ochoa
Title
Chief Compliance Officer
Phone
(909) 388-0882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

17830 Arrow Blvd
Fontana, CA 92335

Mailing address

303 E Vanderbilt Way
San Bernardino, CA 92415-0026
Phone (909) 388-0900

Other names 1

  • Fontana CHOICE Substance Use Disorder Treatment Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lucerne Valley Fire District142 organizations share this tax ID, including this one
Part of
Lucerne Valley Fire District

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

17830 Arrow Blvd
Fontana, CA 92335
Phone (909) 356-6439

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1013272558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E VANDERBILT WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924150026",
            "telephone_number": "909-388-0900",
            "fax_number": "909-890-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17830 ARROW BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "909-356-6439",
            "fax_number": "909-890-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN BERNARDINO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SAN BERNARDINO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "909-388-0882"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fontana CHOICE Substance Use Disorder Treatment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fontana CHOICE Substance Use Disorder Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.