Organization Active NPI

Doors of Change

  • Case Management Agency
  • Cardiff, CA
National Provider Identifier
1073355533
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
DOORS OF CHANGE
Practice address
1441 San Elijo Ave Apt B
Cardiff, CA 92007-2439
Phone
(760) 505-7077
NPI assigned
Jun 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Jeffrey Sitcov
Title
President and Founder
Phone
(760) 505-7077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1441 San Elijo Ave Apt B
Cardiff, CA 92007-2439

Mailing address

PO Box 177
Cardiff, CA 92007-0177
Phone (760) 505-7077

Other names 1

  • Photocharity Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1073355533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920070177",
            "telephone_number": "760-505-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SAN ELIJO AVE APT B",
            "city": "CARDIFF",
            "state": "CA",
            "postal_code": "920072439",
            "telephone_number": "760-505-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOORS OF CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "SITCOV",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT AND FOUNDER",
        "authorized_official_telephone_number": "760-505-7077"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Photocharity",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cardiff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.