Active NPI
Fighting Back Santa Maria Valley
- Case Manager/Care Coordinator
- Santa Maria, CA
National Provider Identifier
1316787377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- FIGHTING BACK SANTA MARIA VALLEY
- Practice address
- 201 S Miller St Ste 209
Santa Maria, CA 93454-5249 - Phone
- (805) 720-6220
- Fax
- (805) 621-5859
- NPI assigned
- May 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank Edwin Weaver, MSW, MDR
- Title
- Executive Director
- Phone
- (805) 346-1774
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Supports Brokerage Agency | 251X00000X |
Addresses
Primary practice location
201 S Miller St Ste 209
Santa Maria, CA 93454-5249
Mailing address
PO Box 184
Santa Maria, CA 93456-0184
Phone (805) 346-1774
National Provider Directory
National Provider DirectoryLocations
201 S Miller St
Ste 209
Santa Maria, CA 93454
Phone (805) 720-6220
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Santa Maria, CA
- NPI 1033468905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716854400000",
"number": "1316787377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 184",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934560184",
"telephone_number": "805-346-1774",
"fax_number": "805-621-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S MILLER ST STE 209",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545249",
"telephone_number": "805-720-6220",
"fax_number": "805-621-5859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIGHTING BACK SANTA MARIA VALLEY",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A",
"authorized_official_last_name": "WEAVER",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "EDWIN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "805-346-1774",
"authorized_official_credential": "MSW, MDR"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.