Organization Active NPI

Our Daughters Destiny Assistance Program

  • Peer Specialist
  • Sacramento, CA
National Provider Identifier
1043074388
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
OUR DAUGHTERS DESTINY ASSISTANCE PROGRAM
Practice address
5330 Madison Ave Ste D
Sacramento, CA 95841-3150
Phone
(916) 720-1314
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Cherell Howze
Title
Director
Phone
(916) 720-1314

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X

Addresses

Primary practice location

5330 Madison Ave Ste D
Sacramento, CA 95841-3150

Mailing address

PO Box 379
North Highlands, CA 95660-0379
Phone (916) 720-1314

National Provider Directory

National Provider Directory

Locations

5330 Madison Ave
Ste D
Sacramento, CA 95841
Phone (916) 720-1314

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1043074388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956600379",
            "telephone_number": "916-720-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 MADISON AVE STE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413150",
            "telephone_number": "916-720-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR DAUGHTERS DESTINY ASSISTANCE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "HOWZE",
        "authorized_official_first_name": "CHERELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-720-1314"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.