Fanatics, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FANATICS, LLC

Practice address

41669 Date St Ste 100
Murrieta, CA 92562-7043

Phone

(951) 304-3052

NPI assigned

Sep 6, 2016

Organization subpart

No

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

Authorized official

Name

James Caouette

Title

Managing Partner

Phone

(951) 757-0427

Specialties & licenses 1

Addresses

Other names 1

• Access Therapy Solutions Doing business as

Locations

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1225585474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41669 DATE ST STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627043",
            "telephone_number": "951-304-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41669 DATE ST STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627043",
            "telephone_number": "951-304-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FANATICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "CAOUETTE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "951-757-0427"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Therapy Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kirolies Farag, DDS

• Case Management Agency in Murrieta, CA
• Providers in Murrieta, 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 Sep 6, 2016; 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.