Organization Active NPI

Standup for Kids

  • Case Manager/Care Coordinator
  • Costa Mesa, CA
National Provider Identifier
1316794183
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
STANDUP FOR KIDS
Practice address
1055 El Camino Dr Ste E
Costa Mesa, CA 92626-5545
Phone
(714) 356-5437
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Carlia Oldfather
Title
Dir. of Business & Program Ops.
Phone
(260) 232-2769

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
Meals Provider 174200000X
Lodging Provider 177F00000X
Case Management Agency 251B00000X
Public Health or Welfare Agency 251K00000X
Point of Service 305S00000X
Prevention ProfessionalGroup: 193200000X MULTI-SPECIALTY GROUP 405300000X

Addresses

Primary practice location

1055 El Camino Dr Ste E
Costa Mesa, CA 92626-5545

Mailing address

PO Box 14398
Irvine, CA 92623-4398
Phone (714) 356-5437

National Provider Directory

National Provider Directory

Locations

1055 El Camino Dr
Ste E
Costa Mesa, CA 92626
Phone (714) 356-5437

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1316794183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14398",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926234398",
            "telephone_number": "714-356-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 EL CAMINO DR STE E",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265545",
            "telephone_number": "714-356-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDUP FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "OLDFATHER",
        "authorized_official_first_name": "CARLIA",
        "authorized_official_title_or_position": "DIR. OF BUSINESS & PROGRAM OPS.",
        "authorized_official_telephone_number": "260-232-2769"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.

Verify at the official NPI Registry.