NPIMap

Organization Active NPI

Family Service Association

  • Community/Behavioral Health Agency
  • San Jacinto, CA
National Provider Identifier
1164715009
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SERVICE ASSOCIATION
Practice address
625 S Pico Ave
San Jacinto, CA 92583-4130
Phone
(951) 686-1096
NPI assigned
May 25, 2011
Last updated
Sep 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Ms. Veronica Dover, LMFTNPI 1881855757
Title
Chief Operating Officer
Phone
(951) 686-1096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

625 S Pico Ave
San Jacinto, CA 92583-4130

Mailing address

21250 Box Springs Road
Suite 106
Moreno Valley, CA 92557-8705
Phone (951) 369-8036

National Provider Directory

National Provider Directory
Tax ID family
Family Service Association8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

21250 Box Springs Rd
Ste 106
Moreno Valley, CA 92557
Phone (951) 369-8036

625 S Pico Ave
San Jacinto, CA 92583
Phone (951) 686-1096

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1164715009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21250 BOX SPRINGS ROAD",
            "address_2": "SUITE 106",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925578705",
            "telephone_number": "951-369-8036",
            "fax_number": "951-369-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S PICO AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834130",
            "telephone_number": "951-686-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "DOVER",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "951-686-1096",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

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