NPIMap

Organization Active NPI

Common Goals, Inc.

  • Community/Behavioral Health Agency
  • Grass Valley, CA
National Provider Identifier
1336490069
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMON GOALS, INC.
Practice address
256 Buena Vista St
Suite 100
Grass Valley, CA 95945-7239
Phone
(530) 274-2000
Fax
(530) 274-2116
NPI assigned
Sep 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Mr. Joseph J Festersen
Title
Executive Director
Phone
(530) 265-2914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

256 Buena Vista St
Suite 100
Grass Valley, CA 95945-7239

Mailing address

256 Buena Vista St
Suite 100
Grass Valley, CA 95945-7239
Phone (530) 274-2000

Other identifiers 1

IdentifierTypeStateIssuer
292902MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Common Goals Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

256 Buena Vista St
Ste 100
Grass Valley, CA 95945
Phone (530) 274-2000

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1336490069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 BUENA VISTA ST",
            "address_2": "SUITE 100",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457239",
            "telephone_number": "530-274-2000",
            "fax_number": "530-274-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BUENA VISTA ST",
            "address_2": "SUITE 100",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457239",
            "telephone_number": "530-274-2000",
            "fax_number": "530-274-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GOALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "FESTERSEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-265-2914",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292902",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.