Organization Active NPI

Prismatic Bodies LLC

  • Case Management Agency
  • San Bernardino, CA
National Provider Identifier
1083570154
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PRISMATIC BODIES LLC
Practice address
945 Hazel Ave
San Bernardino, CA 92410-2713
Phone
(909) 894-6420
NPI assigned
Jan 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Authorized official

Name
Angelica Lynne Rachel Marie BurseyNPI 1609663442
Title
Owner
Phone
(909) 894-6420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

945 Hazel Ave
San Bernardino, CA 92410-2713

Mailing address

945 Hazel Ave
San Bernardino, CA 92410-2713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1767225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767225600000",
    "number": "1083570154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 HAZEL AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 HAZEL AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102713",
            "telephone_number": "909-894-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMATIC BODIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-01",
        "last_updated": "2026-01-01",
        "certification_date": "2025-12-27",
        "status": "A",
        "authorized_official_last_name": "BURSEY",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_middle_name": "LYNNE RACHEL MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-894-6420"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; 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.