NPIMap

Organization Active NPI

San Bernardino County/CCS

  • Pediatric Occupational Therapist
  • Redlands, CA
National Provider Identifier
1427247386
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
SAN BERNARDINO COUNTY/CCS
Practice address
1451 E. Pennsylvania Ave.
Redlands Mtu
Redlands, CA 92374
Phone
(909) 307-2441
NPI assigned
Oct 17, 2007
Last updated
Oct 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Mr. Ken Adams, MPH
Title
Program Manager
Phone
(909) 387-8400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X
Pediatric Physical Therapist 2251P0200X
Physical Therapy Assistant 225200000X
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

1451 E. Pennsylvania Ave.
Redlands Mtu
Redlands, CA 92374

Mailing address

351 N Mountain View Ave
San Bernardino, CA 92415-1018
Phone (909) 387-6218

Other identifiers 1

IdentifierTypeStateIssuer
CCS00133FOtherCAMEDICAL

National Provider Directory

National Provider Directory
Tax ID family
Valley Guidance Center142 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1427247386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 N MOUNTAIN VIEW AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924151018",
            "telephone_number": "909-387-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 E. PENNSYLVANIA AVE.",
            "address_2": "REDLANDS MTU",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92374",
            "telephone_number": "909-307-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO COUNTY/CCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "909-387-8400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "CCS00133F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.