NPIMap

Organization Active NPI

Ready4Change

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1437585791
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
READY4CHANGE
Practice address
3400 Watt Ave
Suite #205
Sacramento, CA 95821-3602
Phone
(916) 821-9090
NPI assigned
Sep 18, 2013
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Mr. Leo Anthony Vasquez I, B.S.W, RAS 11
Title
President / Ceo
Phone
(916) 821-9090

Specialties & licenses 1

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

Addresses

Primary practice location

3400 Watt Ave
Suite #205
Sacramento, CA 95821-3602

Mailing address

3400 Watt Ave
Suite #205
Sacramento, CA 95821-3602
Phone (916) 821-9090

Other names 1

  • uready4change Other name

National Provider Directory

National Provider Directory
Tax ID family
Ready4Change4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

  • Ready4Change

    dba Grant High School

    • Addiction (Substance Use Disorder) Counselor
    • Sacramento, CA
    • NPI 1275991887
    NPD tax ID
  • Ready4Change

    dba FootHill Middle School

    • Addiction (Substance Use Disorder) Counselor
    • Sacramento, CA
    • NPI 1720446347
    NPD tax ID
  • Ready4Change

    dba Rio LInda High School

    • Addiction (Substance Use Disorder) Counselor
    • Rio Linda, CA
    • NPI 1982062501
    NPD tax ID

Locations

3400 Watt Ave
Ste 205
Sacramento, CA 95821
Phone (916) 222-7212

Practitioners & affiliated clinicians

Practitioners 4

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": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1437585791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 WATT AVE",
            "address_2": "SUITE #205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213602",
            "telephone_number": "916-821-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WATT AVE",
            "address_2": "SUITE #205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958213602",
            "telephone_number": "916-821-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "READY4CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "916-821-9090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "B.S.W, RAS 11"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "uready4change",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.