Organization Active NPI

Harvest Community Group Inc

  • Case Management Agency
  • Beaumont, CA
National Provider Identifier
1306779020
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HARVEST COMMUNITY GROUP INC
Practice address
1225 Beaumont Ave
Beaumont, CA 92223-1505
Phone
(619) 586-0278
NPI assigned
Jun 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Authorized official

Name
Dominic Bullock
Title
Lead Care Manager
Phone
(619) 586-0278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1225 Beaumont Ave
Beaumont, CA 92223-1505

Mailing address

1225 Beaumont Ave
Beaumont, CA 92223-1505

Other practice location 1

35274 Price St
Beaumont, CA 92223-6274
Phone (619) 586-0278

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1780444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1306779020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 BEAUMONT AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 BEAUMONT AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922231505",
            "telephone_number": "619-586-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35274 Price St",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "CA",
            "postal_code": "922236274",
            "country_code": "US",
            "telephone_number": "619-586-0278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARVEST COMMUNITY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "LEAD CARE MANAGER",
        "authorized_official_telephone_number": "619-586-0278"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.