Organization Active NPI

Branches Recovery Center

  • Counselor
  • Corona, CA
National Provider Identifier
1174038939
Registry record updated Dec 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
BRANCHES RECOVERY CENTER
Practice address
19905 Bedford Canyon Rd
Corona, CA 92881-4827
Phone
(951) 317-5571
Fax
(951) 444-7818
NPI assigned
Dec 2, 2017
Last updated
Dec 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2017

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

Authorized official

Name
Mrs. Celeste Pafford
Title
Ceo
Phone
(951) 317-5571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

19905 Bedford Canyon Rd
Corona, CA 92881-4827

Mailing address

2279 Eagle Glen Pkwy # 112-409
Corona, CA 92883-0790
Phone (951) 317-5571

National Provider Directory

National Provider Directory

Locations

2279 Eagle Glen Pkwy
#112409
Corona, CA 92883

Practitioners & affiliated clinicians

Practitioners 1

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": "1512172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512172800000",
    "number": "1174038939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2279 EAGLE GLEN PKWY # 112-409",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830790",
            "telephone_number": "951-317-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19905 BEDFORD CANYON RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928814827",
            "telephone_number": "951-317-5571",
            "fax_number": "951-444-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHES RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-02",
        "last_updated": "2017-12-02",
        "status": "A",
        "authorized_official_last_name": "PAFFORD",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-317-5571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2017; 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.