Organization Active NPI

Delicacies of the Heart

  • Clinical Social Worker
  • Ontario, CA
National Provider Identifier
1508499807
Registry record updated Feb 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DELICACIES OF THE HEART
Practice address
3350 Shelby St Ste 200
Ontario, CA 91764-5556
Phone
(909) 278-9096
NPI assigned
Feb 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2020

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

Authorized official

Name
Christina Burden, LCSW
Title
Ceo/Christian and Sex Therapist
Phone
(909) 549-1347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3350 Shelby St Ste 200
Ontario, CA 91764-5556

Mailing address

PO Box 3502
Rancho Cucamonga, CA 91729-3502

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.doth.org/doth@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1581724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581724800000",
    "number": "1508499807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3502",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917293502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SHELBY ST STE 200",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645556",
            "telephone_number": "909-278-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELICACIES OF THE HEART",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-15",
        "last_updated": "2020-02-15",
        "certification_date": "2020-02-15",
        "status": "A",
        "authorized_official_last_name": "BURDEN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO/CHRISTIAN AND SEX THERAPIST",
        "authorized_official_telephone_number": "909-549-1347",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.doth.org/doth@gmail.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3350 Shelby St Ste 200",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917645556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2020; 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.