NPIMap

Organization Active NPI

Preparing People for Success

  • Preferred Provider Organization
  • Sacramento, CA
National Provider Identifier
1043609969
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
121528933 Issued in CA
Legal business name
PREPARING PEOPLE FOR SUCCESS
Practice address
1513 Sports Dr
Sacramento, CA 95834-1943
Phone
(916) 575-8851
NPI assigned
Jan 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Authorized official

Name
Shawn Vaughan-Williams, CADC-II
Title
Executive Director
Phone
(916) 575-8851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 121528933 CA Primary

Addresses

Primary practice location

1513 Sports Dr
Sacramento, CA 95834-1943

Mailing address

1513 Sports Dr
Sacramento, CA 95834-1943
Phone (916) 575-8851

Other identifiers 1

IdentifierTypeStateIssuer
1215287933OtherCAALCOHOL AND DRUG

National Provider Directory

National Provider Directory
Tax ID family
Preparing People for Success3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1513 Sports Dr
Sacramento, CA 95834
Phone (916) 289-4730

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1043609969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 SPORTS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341943",
            "telephone_number": "916-575-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 SPORTS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341943",
            "telephone_number": "916-575-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREPARING PEOPLE FOR SUCCESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN-WILLIAMS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-575-8851",
        "authorized_official_credential": "CADC-II"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "121528933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL AND DRUG",
            "identifier": "1215287933",
            "state": "CA"
        }
    ],
    "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 Jan 15, 2015; 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.