NPIMap

Organization Active NPI

Tikvah Center

  • Community/Behavioral Health Agency
  • Corona, CA
National Provider Identifier
1275959728
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-10-7080 Issued in CA
Legal business name
TIKVAH CENTER
Practice address
22930 Canyon View Dr
Corona, CA 92883-9148
Phone
(951) 254-9736
Fax
(951) 254-9737
NPI assigned
Mar 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Lilly Alejandra Flores, B.C.B.A.
Title
Owner/Director
Phone
(626) 757-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-10-7080 CA Primary

Addresses

Primary practice location

22930 Canyon View Dr
Corona, CA 92883-9148

Mailing address

22930 Canyon View Dr
Corona, CA 92883-9148
Phone (951) 254-9736

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1275959728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22930 CANYON VIEW DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928839148",
            "telephone_number": "951-254-9736",
            "fax_number": "951-254-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22930 CANYON VIEW DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928839148",
            "telephone_number": "951-254-9736",
            "fax_number": "951-254-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIKVAH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LILLY",
        "authorized_official_middle_name": "ALEJANDRA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "626-757-4940",
        "authorized_official_credential": "B.C.B.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1-10-7080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.