NPIMap

Organization Active NPI

Fields Comp. Youth Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Alta Loma, CA
National Provider Identifier
1346791803
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
FIELDS COMP. YOUTH SERVICES, INC.
Practice address
7062 Napa Ave
Alta Loma, CA 91701-5431
Phone
(909) 466-8685
Fax
(909) 466-4815
NPI assigned
Oct 20, 2016
Last updated
Jan 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Authorized official

Name
Mr. Arby Enrico Fields
Title
Executive Director
Phone
(909) 945-1318

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 366402086 CA
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

7062 Napa Ave
Alta Loma, CA 91701-5431

Mailing address

8780 19TH St
Suite 196
Alta Loma, CA 91701-4608
Phone (909) 608-1991

National Provider Directory

National Provider Directory
Tax ID family
Fields Comp Youth Services 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

8780 19th St
Rancho Cucamonga, CA 91701
Phone (909) 773-8572

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1346791803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 19TH ST",
            "address_2": "SUITE 196",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917014608",
            "telephone_number": "909-608-1991",
            "fax_number": "909-466-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7062 NAPA AVE",
            "city": "ALTA LOMA",
            "state": "CA",
            "postal_code": "917015431",
            "telephone_number": "909-466-8685",
            "fax_number": "909-466-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDS COMP. YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "ARBY",
        "authorized_official_middle_name": "ENRICO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-945-1318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "366402086",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alta Loma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.