Organization Active NPI

Green Family Therapies

  • Hearing and Speech Clinic/Center
  • Rancho Cucamonga, CA
National Provider Identifier
1023547759
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
GREEN FAMILY THERAPIES
Practice address
11433 Mountain View Dr Unit 20
Rancho Cucamonga, CA 91730-8347
Phone
(909) 333-6067
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Alexandria Green
Title
Director
Phone
(909) 333-6067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

11433 Mountain View Dr Unit 20
Rancho Cucamonga, CA 91730-8347

Mailing address

11433 Mountain View Dr Unit 20
Rancho Cucamonga, CA 91730-8347
Phone (909) 333-6067

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023547759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11433 MOUNTAIN VIEW DR UNIT 20",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308347",
            "telephone_number": "909-333-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11433 MOUNTAIN VIEW DR UNIT 20",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308347",
            "telephone_number": "909-333-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN FAMILY THERAPIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-333-6067"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.