Active NPI
Jose M Torres
- Addiction (Substance Use Disorder) Counselor
- San Bernardino, CA
National Provider Identifier
1407678428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1100 N D St
San Bernardino, CA 92410-3524 - Phone
- (909) 381-3774
- Fax
- (909) 885-6845
- NPI assigned
- Oct 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1100 N D St
San Bernardino, CA 92410-3524
Mailing address
2121 Kern St
Muscoy, CA 92407-6213
Phone (626) 772-1360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1407678428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 KERN ST",
"city": "MUSCOY",
"state": "CA",
"postal_code": "924076213",
"telephone_number": "626-772-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N D ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924103524",
"telephone_number": "909-381-3774",
"fax_number": "909-885-6845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "JOSE",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.