Organization Active NPI

Creative Family Coaching Inc.

  • Community/Behavioral Health Agency
  • Costa Mesa, CA
National Provider Identifier
1467718650
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1-11-9013 Issued in CA
Legal business name
CREATIVE FAMILY COACHING INC.
Practice address
2111 Orange Ave
B
Costa Mesa, CA 92627-1848
Phone
(714) 248-5439
Fax
(866) 960-1927
NPI assigned
Apr 2, 2012
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Mr. Haim Ore
Title
Ceo
Phone
(714) 248-5439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1-11-9013 CA Primary

Addresses

Primary practice location

2111 Orange Ave
B
Costa Mesa, CA 92627-1848

Mailing address

2111 Orange Ave
B
Costa Mesa, CA 92627-1848
Phone (714) 248-5439

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1467718650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 ORANGE AVE",
            "address_2": "B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271848",
            "telephone_number": "714-248-5439",
            "fax_number": "866-960-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 ORANGE AVE",
            "address_2": "B",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926271848",
            "telephone_number": "714-248-5439",
            "fax_number": "866-960-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE FAMILY COACHING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "ORE",
        "authorized_official_first_name": "HAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-248-5439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1-11-9013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.