Organization Active NPI

Word of Life Christian Center

  • Community/Behavioral Health Agency
  • Davis, CA
National Provider Identifier
1437498813
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC24393 Issued in CA
Legal business name
WORD OF LIFE CHRISTIAN CENTER
Practice address
219 E St Ste C
Davis, CA 95616-4554
Phone
(530) 758-7750
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Mr. Arthur W Defenderfer III, MFT
Title
Senior Pastor
Phone
(530) 758-7750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFC24393 CA Primary

Addresses

Primary practice location

219 E St Ste C
Davis, CA 95616-4554

Mailing address

219 E St Ste C
Davis, CA 95616-4554
Phone (530) 758-7750

National Provider Directory

National Provider Directory

Locations

219 E St
Ste C
Davis, CA 95616
Phone (530) 758-7750

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1437498813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E ST STE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164554",
            "telephone_number": "530-758-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E ST STE C",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164554",
            "telephone_number": "530-758-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORD OF LIFE CHRISTIAN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "DEFENDERFER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SENIOR PASTOR",
        "authorized_official_telephone_number": "530-758-7750",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC24393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.