Active NPI
Cynthia Abeyta
- Addiction (Substance Use Disorder) Counselor
- Upland, CA
National Provider Identifier
1154516250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C22701214
- Practice address
- 1260 E Arrow Hwy BLDG C
Upland, CA 91786-4987 - Phone
- (909) 932-1069
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A0502091236 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C22701214 | CA | Primary |
Addresses
Primary practice location
1260 E Arrow Hwy BLDG C
Upland, CA 91786-4987
Mailing address
1260 E Arrow Hwy BLDG C
Upland, CA 91786-4987
Phone (909) 932-1069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0502091236 | CA | MD | Counselor |
| C22701214 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Valley Recovery Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Bernardino, CA
- NPI 1427464429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1154516250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 E ARROW HWY BLDG C",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864987",
"telephone_number": "909-932-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 E ARROW HWY BLDG C",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864987",
"telephone_number": "909-932-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEYTA",
"first_name": "CYNTHIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "A0502091236",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C22701214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.