Organization Active NPI

Fontana Treatment Center

  • Methadone Clinic
  • Fontana, CA
National Provider Identifier
1467652438
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
FONTANA TREATMENT CENTER
Practice address
9880 Sierra Ave
Suite E-F
Fontana, CA 92335-6714
Phone
(909) 357-2940
Fax
(909) 357-2999
NPI assigned
Jul 19, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Mr. Leonid Foox
Title
President
Phone
(909) 357-2940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

9880 Sierra Ave
Suite E-F
Fontana, CA 92335-6714

Mailing address

9880 Sierra Ave
Suite E-F
Fontana, CA 92335-6714
Phone (909) 357-2940

National Provider Directory

National Provider Directory

Locations

9880 Sierra Ave
Ste Ef
Fontana, CA 92335
Phone (909) 357-2940

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1467652438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 SIERRA AVE",
            "address_2": "SUITE E-F",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356714",
            "telephone_number": "909-357-2940",
            "fax_number": "909-357-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 SIERRA AVE",
            "address_2": "SUITE E-F",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356714",
            "telephone_number": "909-357-2940",
            "fax_number": "909-357-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONTANA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "FOOX",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-357-2940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.