Organization Active NPI

River of Tradition

  • Specialist
  • Claremont, CA
National Provider Identifier
1023356987
Registry record updated Jan 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RIVER OF TRADITION
Practice address
665 E Foothill Blvd
Suite # D and E
Claremont, CA 91711-3581
Phone
(909) 626-0606
Fax
(323) 888-2254
NPI assigned
Jan 27, 2013
Last updated
Jan 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2013

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

Authorized official

Name
Mr. Michael Mendoza
Title
Manager
Phone
(909) 753-2166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CA Primary

Addresses

Primary practice location

665 E Foothill Blvd
Suite # D and E
Claremont, CA 91711-3581

Mailing address

665 E Foothill Blvd
Suite # D and E
Claremont, CA 91711-3581
Phone (909) 626-0606

National Provider Directory

National Provider Directory

Locations

665 E Foothill Blvd
Ste D
Claremont, CA 91711
Phone (909) 625-1100

NPI Registry JSON

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

{
    "created_epoch": "1359244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359244800000",
    "number": "1023356987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 E FOOTHILL BLVD",
            "address_2": "SUITE # D AND E",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113581",
            "telephone_number": "909-626-0606",
            "fax_number": "323-888-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 E FOOTHILL BLVD",
            "address_2": "SUITE # D AND E",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113581",
            "telephone_number": "909-626-0606",
            "fax_number": "323-888-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER OF TRADITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-27",
        "last_updated": "2013-01-27",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-753-2166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2013; 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.