University Enterprise Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

P70877 Issued in CA

Legal business name

UNIVERSITY ENTERPRISE CORPORATION

Practice address

5500 University Pkwy
San Bernardino, CA 92407-2318

Phone

(909) 537-5495

Fax

(909) 537-7002

NPI assigned

Mar 9, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Diane Trujillo

Title

Director, Sponsored Programs

Phone

(909) 537-3664

Specialties & licenses 1

Addresses

Other names 1

• University Center for Developmental Disabilities Other name

Tax ID family

Foundation for California State University San Bernardino3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Foundation for California State University San Bernardino

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1225213697
  NPD tax ID
• Foundation for California State University, San Bernardino

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1982728689
  NPD tax ID

Locations

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1467813071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072318",
            "telephone_number": "909-537-5495",
            "fax_number": "909-537-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 UNIVERSITY PKWY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072318",
            "telephone_number": "909-537-5495",
            "fax_number": "909-537-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ENTERPRISE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-09",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR, SPONSORED PROGRAMS",
        "authorized_official_telephone_number": "909-537-3664",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "P70877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Center for Developmental Disabilities",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Universal Institute, Inc.
• University Muslim Medical Association Inc
• Unlimited Interpreting
• Robin Marie Unwin-Bassett
• Alejandra Urbano
• Cecilia Urbina

• Community/Behavioral Health Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.