NPIMap

Organization Active NPI

Family Service Agency of San Bernardino

  • Community/Behavioral Health Agency
  • Barstow, CA
National Provider Identifier
1275941049
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SERVICE AGENCY OF SAN BERNARDINO
Practice address
109 1/2 N 7TH Ave
Barstow, CA 92311-2337
Phone
(760) 256-9326
Fax
(760) 256-9326
NPI assigned
Jul 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Ms. Patrice J Cormican
Title
Ceo
Phone
(909) 886-6737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

109 1/2 N 7TH Ave
Barstow, CA 92311-2337

Mailing address

1669 N E St
San Bernardino, CA 92405-4405
Phone (909) 886-6737

National Provider Directory

National Provider Directory
Tax ID family
Family Services of San Bernardino7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1275941049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 N E ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924054405",
            "telephone_number": "909-886-6737",
            "fax_number": "909-881-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 1/2 N 7TH AVE",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112337",
            "telephone_number": "760-256-9326",
            "fax_number": "760-256-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE AGENCY OF SAN BERNARDINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "CORMICAN",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-886-6737",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.