NPIMap

Organization Active NPI

Center of Social Dynamics

  • Early Intervention Provider Agency
  • Huntington Beach, CA
National Provider Identifier
1265038400
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CENTER OF SOCIAL DYNAMICS
Practice address
4952 Warner Ave Ste 300
Huntington Beach, CA 92649-5506
Phone
(714) 587-9007
NPI assigned
Dec 10, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Authorized official

Name
Jezabel Quintero, B,S
Title
Behavior Specialist
Phone
(562) 507-3356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

4952 Warner Ave Ste 300
Huntington Beach, CA 92649-5506

Mailing address

2040 W Wardlow Rd Apt 9
Long Beach, CA 90810-2058
Phone (562) 507-3356

National Provider Directory

National Provider Directory

Locations

4952 Warner Ave
Ste 300
Huntington Beach, CA 92649
Phone (714) 351-3709

Practitioners & affiliated clinicians

Practitioners 78

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.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1265038400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W WARDLOW RD APT 9",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908102058",
            "telephone_number": "562-507-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 WARNER AVE STE 300",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926495506",
            "telephone_number": "714-587-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF SOCIAL DYNAMICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "JEZABEL",
        "authorized_official_title_or_position": "BEHAVIOR SPECIALIST",
        "authorized_official_telephone_number": "562-507-3356",
        "authorized_official_credential": "B,S"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.