Autism Society Inland Empire Inc

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

AUTISM SOCIETY INLAND EMPIRE INC

Practice address

2638 Tundar Cir
Corona, CA 92879-5830

Phone

(951) 220-6922

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Elizabeth Burt

Title

Executive Director

Phone

(951) 532-4462

Specialties & licenses 1

Addresses

Other names 1

• Autism Society Inland Empire Doing business as

Locations

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1225870843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MCKINLEY ST STE 111-118",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798099",
            "telephone_number": "951-532-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 TUNDAR CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928795830",
            "telephone_number": "951-220-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM SOCIETY INLAND EMPIRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-532-4462"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autism Society Inland Empire",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooklyn Austin
• Cearra Austin
• Jana Austin, ATC
• Kayla Sapida Austria, LCSW
• Autism Deaf Empowerment Advocacy Foundation Inc
• Laquanda Autrey
• Alejandro Avalos Jr.
• Cynthia Marie Avalos
• Irving Avalos
• Jasmine Brianna Avalos

• Community Health Worker in Corona, CA
• Providers in Corona, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.