NPIMap

Organization Active NPI

Ready4Change

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1275991887
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
READY4CHANGE
Doing business as
Grant High School
Practice address
1221 South Ave
Sacramento, CA 95838-4464
Phone
(916) 566-3450
NPI assigned
Feb 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Mr. Leo A Vasquez, BSW
Title
President
Phone
(916) 821-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

1221 South Ave
Sacramento, CA 95838-4464

Mailing address

1221 South Ave
Sacramento, CA 95838-4464
Phone (916) 566-3450

Other names 1

  • Grant High School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ready4Change4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1221 South Ave
Sacramento, CA 95838
Phone (916) 341-0575

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1275991887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SOUTH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958384464",
            "telephone_number": "916-566-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SOUTH AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958384464",
            "telephone_number": "916-566-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY4CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-821-9090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant High School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.