NPIMap

Organization Active NPI

South Bay Bright Future, Inc.

  • Community/Behavioral Health Agency
  • San Pedro, CA
National Provider Identifier
1336686229
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH BAY BRIGHT FUTURE, INC.
Practice address
537 W 8TH St
San Pedro, CA 90731-3119
Phone
(310) 891-0096
Fax
(310) 891-0195
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Mrs. Laneta Joyce Hill
Title
Chief Executive Officer
Phone
(310) 891-0096

Specialties & licenses 1

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

Addresses

Primary practice location

537 W 8TH St
San Pedro, CA 90731-3119

Mailing address

24404 Vermont Ave
Suite 201
Harbor City, CA 90710-2313
Phone (310) 891-0096

Other names 1

  • South Bay Bright Future, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
South Bay Bright Future Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1336686229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24404 VERMONT AVE",
            "address_2": "SUITE 201",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102313",
            "telephone_number": "310-891-0096",
            "fax_number": "310-891-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W 8TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313119",
            "telephone_number": "310-891-0096",
            "fax_number": "310-891-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY BRIGHT FUTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LANETA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-891-0096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Bright Future, Inc.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "South Bay Bright Future, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.