Active NPI
Standup for Kids
- Case Manager/Care Coordinator
- Costa Mesa, CA
National Provider Identifier
1316794183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Meals Provider | 174200000X | |||
| Lodging Provider | 177F00000X | |||
| Case Management Agency | 251B00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| Point of Service | 305S00000X | |||
| Prevention Professional | 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 DirectoryLocations
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.