Assistance League of San Bernardino

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

ASSISTANCE LEAGUE OF SAN BERNARDINO

Doing business as

Dr. Earl R. Crane Children's Dental Health Center

Practice address

580 W 6TH St
San Bernardino, CA 92410-3002

Phone

(909) 885-2044

Fax

(909) 885-5900

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Phyllis A Hough

Title

Dental Chair

Phone

(909) 499-4520

Specialties & licenses 1

Addresses

Other names 1

• Dr. Earl R. Crane Children's Dental Health Center Doing business as

Locations

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1316522667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 W 6TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103002",
            "telephone_number": "909-885-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 W 6TH ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103002",
            "telephone_number": "909-885-2044",
            "fax_number": "909-885-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTANCE LEAGUE OF SAN BERNARDINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "HOUGH",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTAL CHAIR",
        "authorized_official_telephone_number": "909-499-4520"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Earl R. Crane Children's Dental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marilyn C. Ashton, LMFT
• Asian American Educational and Cultural Resources Center, Inc. (Asian-American Resource Center)
• Shaydonna Lynette Askew
• Noor Tariq Asmail
• Aspiranet
• Assistance League of San Bernardino
• Asuquo Edet Asuquo, LVN
• Joshua Ryan Atencio
• Melanie Snyder Atencio, M.ED CCC-SLP
• Atg Wound Care Inc

• Voluntary or Charitable Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.