Faith in Action of San Gorgonio Pass

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FAITH IN ACTION OF SAN GORGONIO PASS

Practice address

66 S San Gorgonio Ave Ste 6
Banning, CA 92220-6020

Phone

(951) 293-9603

NPI assigned

Aug 3, 2022

Last updated

Aug 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Allbaugh, MA

Title

President

Phone

(951) 293-9603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1255068987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 S SAN GORGONIO AVE STE 6",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922206020",
            "telephone_number": "951-293-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 S SAN GORGONIO AVE STE 6",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922206020",
            "telephone_number": "951-293-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH IN ACTION OF SAN GORGONIO PASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "ALLBAUGH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-293-9603",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jhonathan E Fajardo
• Behnam Faridian, MD
• Hilda Favela
• Cristyan Felix

• Case Management Agency in Banning, CA
• Providers in Banning, 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 Aug 3, 2022; 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.