Organization Active NPI

Asante Family Agency

  • Community/Behavioral Health Agency
  • San Bernardino, CA
National Provider Identifier
1467778050
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ASANTE FAMILY AGENCY
Practice address
1255 E Highland Ave Ste 107
San Bernardino, CA 92404-4652
Phone
(909) 383-3332
NPI assigned
Apr 8, 2010
Last updated
Apr 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Angela Ukiru, MPH, MSW
Title
Director
Phone
(909) 383-3322

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary
Point of Service 305S00000X

Addresses

Primary practice location

1255 E Highland Ave Ste 107
San Bernardino, CA 92404-4652

Mailing address

1255 E Highland Ave Ste 107
San Bernardino, CA 92404-4652
Phone (909) 383-3332

National Provider Directory

National Provider Directory
Tax ID family
Asante Family Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1255 E Highland Ave
Ste 107
San Bernardino, CA 92404
Phone (909) 383-3332

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1467778050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 E HIGHLAND AVE STE 107",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044652",
            "telephone_number": "909-383-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 E HIGHLAND AVE STE 107",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044652",
            "telephone_number": "909-383-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASANTE FAMILY AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "UKIRU",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-383-3322",
        "authorized_official_credential": "MPH, MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2010; 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.