NPIMap

Organization Active NPI

Asante Family Agency

  • Community/Behavioral Health Agency
  • San Bernardino, CA
National Provider Identifier
1306092762
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCS1467 Issued in CA
Legal business name
ASANTE FAMILY AGENCY
Practice address
2210 E Highland Ave
Suite 101
San Bernardino, CA 92404-4671
Phone
(909) 863-1186
Fax
(909) 863-1188
NPI assigned
Aug 15, 2008
Last updated
Aug 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Angela Ukiru
Title
Director
Phone
(909) 863-1186

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LCS1467 CA
Public Health or Welfare Agency 251K00000X LCS1467 CA
Community/Behavioral Health Agency 251S00000X LCS1467 CA Primary
Supports Brokerage Agency 251X00000X LCS1467 CA

Addresses

Primary practice location

2210 E Highland Ave
Suite 101
San Bernardino, CA 92404-4671

Mailing address

2210 E Highland Ave
Suite 101
San Bernardino, CA 92404-4671
Phone (909) 863-1186

National Provider Directory

National Provider Directory
Tax ID family
Asante Family Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2210 E Highland Ave
Ste 101
San Bernardino, CA 92404
Phone (909) 863-1186

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1306092762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E HIGHLAND AVE",
            "address_2": "SUITE 101",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044671",
            "telephone_number": "909-863-1186",
            "fax_number": "909-863-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E HIGHLAND AVE",
            "address_2": "SUITE 101",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044671",
            "telephone_number": "909-863-1186",
            "fax_number": "909-863-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASANTE FAMILY AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "UKIRU",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-863-1186"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "LCS1467",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "LCS1467",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS1467",
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "CA",
            "license": "LCS1467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.