NPIMap

Organization Active NPI

County of San Bernardino

Doing business as A Restorative Integration for Successful Engagement (ARISE)

  • Adolescent and Children Mental Health Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1043428915
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
ZZZ74743Z Issued in CA
Legal business name
COUNTY OF SAN BERNARDINO
Doing business as
A Restorative Integration for Successful Engagement (ARISE)
HD Fast
Practice address
21101 Dale Evans Pkwy
Apple Valley, CA 92307-9356
Phone
(760) 961-6720
Fax
(760) 961-6788
NPI assigned
May 21, 2007
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X ZZZ74743Z CA Primary

Addresses

Primary practice location

21101 Dale Evans Pkwy
Apple Valley, CA 92307-9356

Mailing address

303 E Vanderbilt Way
San Bernardino, CA 92415-0001
Phone (909) 388-0801

Other names 2

  • A Restorative Integration for Successful Engagement (ARISE) Doing business as
  • HD FAST 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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1043428915",
    "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": "924150001",
            "telephone_number": "909-388-0801",
            "fax_number": "909-890-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21101 DALE EVANS PKWY",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923079356",
            "telephone_number": "760-961-6720",
            "fax_number": "760-961-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN BERNARDINO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTY",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "ZZZ74743Z",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Restorative Integration for Successful Engagement (ARISE)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HD FAST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HD FAST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.