NPIMap

Organization Active NPI

Florence Crittenton Services of Orange County, Inc.

  • Community/Behavioral Health Agency
  • Long Beach, CA
National Provider Identifier
1043341258
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC.
Practice address
4300 Long Beach Blvd Ste 160
Long Beach, CA 90807-2017
Phone
(562) 427-2006
Fax
(562) 989-0573
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Mr. Danilo Cruz, BA
Title
Cfo
Phone
(714) 680-8257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4300 Long Beach Blvd Ste 160
Long Beach, CA 90807-2017

Mailing address

801 E Chapman Ave
Suite 203
Fullerton, CA 92831-3839
Phone (714) 680-8265

Other identifiers 1

IdentifierTypeStateIssuer
RU 7605OtherCAMEDICAL SITE CERTIFICATION

Other names 2

  • Crittenton Services for Children and Familes Doing business as
  • Crittenton Services for Children and Families Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crittenton Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

4300 Long Beach Blvd
Ste 160
Long Beach, CA 90807
Phone (562) 427-2006

4300 Long Beach Blvd
Ste 100
Long Beach, CA 90807
Phone (562) 269-5143

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1043341258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CHAPMAN AVE",
            "address_2": "SUITE 203",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313839",
            "telephone_number": "714-680-8265",
            "fax_number": "714-680-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 160",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072017",
            "telephone_number": "562-427-2006",
            "fax_number": "562-989-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE CRITTENTON SERVICES OF ORANGE COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "DANILO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-680-8257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL SITE CERTIFICATION",
            "identifier": "RU 7605",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crittenton Services for Children and Familes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crittenton Services for Children and Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.