Organization Active NPI

Rolling Start Inc.

  • Clinical Social Worker
  • San Bernardino, CA
National Provider Identifier
1316257561
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROLLING START INC.
Practice address
570 W 4TH St Ste 107
San Bernardino, CA 92401-1438
Phone
(909) 884-2129
Fax
(909) 386-7446
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Ms. Frances Lee Bates
Title
Executive Director
Phone
(909) 884-2129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CA Primary

Addresses

Primary practice location

570 W 4TH St Ste 107
San Bernardino, CA 92401-1438

Mailing address

570 W 4TH St Ste 107
San Bernardino, CA 92401-1438
Phone (909) 884-2129

National Provider Directory

National Provider Directory

Locations

570 W 4th St
Ste 107
San Bernardino, CA 92401
Phone (909) 884-2129

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1316257561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 W 4TH ST STE 107",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011438",
            "telephone_number": "909-884-2129",
            "fax_number": "909-386-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W 4TH ST STE 107",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011438",
            "telephone_number": "909-884-2129",
            "fax_number": "909-386-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING START INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-884-2129",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 20, 2010; 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.