Citadel Community Development Corporation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CITADEL COMMUNITY DEVELOPMENT CORPORATION

Practice address

937 Via Lata
Suite 500
Colton, CA 92324-3958

Phone

(909) 992-0929

Fax

(909) 992-0932

NPI assigned

Sep 4, 2014

Organization subpart

No

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

Authorized official

Name

Donise Jackson

Title

Chairman of the Board

Phone

(909) 992-0929

Specialties & licenses 2

Addresses

Other names 1

• Citadel Economic Development Corporation Former legal business name

Locations

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1134520562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 N MOUNTAIN VIEW AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011231",
            "telephone_number": "909-992-0929",
            "fax_number": "909-992-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 VIA LATA",
            "address_2": "SUITE 500",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243958",
            "telephone_number": "909-992-0929",
            "fax_number": "909-992-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DONISE",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "909-992-0929"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citadel Economic Development Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Citadel Economic Development Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Saewon Chun
• Nancy Chung, MD
• Gabriela Lourdes Cibrian
• Stephania Cid
• Rodora Lynn Llacer Ciruela
• City of Colton Fire Department
• Stephanie Alicia Clation
• Birgit Claussen, CATC-CAADE 051096
• Ryan Andrew Cleary
• Melissa Dean Cline, RD

• Case Management Agency in Colton, CA
• Providers in Colton, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.