NPIMap

Organization Active NPI

His House New Creation Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Upland, CA
National Provider Identifier
1376371187
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
HIS HOUSE NEW CREATION TREATMENT CENTER
Practice address
239 W 9TH St
Upland, CA 91786-5979
Phone
(909) 981-6121
Fax
(909) 912-8041
NPI assigned
Jul 23, 2024
Last updated
Jul 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Ms. Louisa Escarrzaga Gutierrez, RADT
Title
Support Staff
Phone
(951) 732-0437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

239 W 9TH St
Upland, CA 91786-5979

Mailing address

239 W 9TH St
Upland, CA 91786-5979
Phone (909) 981-6121

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 44

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.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1376371187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 W 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865979",
            "telephone_number": "909-981-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W 9TH ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865979",
            "telephone_number": "909-981-6121",
            "fax_number": "909-912-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS HOUSE NEW CREATION TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "LOUISA",
        "authorized_official_middle_name": "ESCARRZAGA",
        "authorized_official_title_or_position": "SUPPORT STAFF",
        "authorized_official_telephone_number": "951-732-0437",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RADT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.