NPIMap

Organization Active NPI

Canyon Acres Children and Family Services

  • Case Management Agency
  • Orange, CA
National Provider Identifier
1184766230
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CANYON ACRES CHILDREN AND FAMILY SERVICES
Practice address
1845 W Orangewood Ave
Suite 302
Orange, CA 92868-2051
Phone
(714) 383-9400
Fax
(714) 383-9243
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Felicia Martin
Title
Vice President Programs
Phone
(714) 383-9343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1845 W Orangewood Ave
Suite 302
Orange, CA 92868-2051

Mailing address

1845 W Orangewood Ave
Suite 302
Orange, CA 92868-2051
Phone (714) 383-9400

Other identifiers 1

IdentifierTypeStateIssuer
30B2OtherCAMEDI-CAL BILLING PROVIDER

Other names 1

  • Canyon Acres Wraparound Other name

National Provider Directory

National Provider Directory
Tax ID family
Canyon Acres Children and Family Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1184766230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 W ORANGEWOOD AVE",
            "address_2": "SUITE 302",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682051",
            "telephone_number": "714-383-9400",
            "fax_number": "714-383-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W ORANGEWOOD AVE",
            "address_2": "SUITE 302",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682051",
            "telephone_number": "714-383-9400",
            "fax_number": "714-383-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON ACRES CHILDREN AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "VICE PRESIDENT PROGRAMS",
        "authorized_official_telephone_number": "714-383-9343"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL BILLING PROVIDER",
            "identifier": "30B2",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Acres Wraparound",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.