Organization Active NPI

Professional Family Solutions Foundation

  • Clinical Social Worker
  • Beaumont, CA
National Provider Identifier
1518584093
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PROFESSIONAL FAMILY SOLUTIONS FOUNDATION
Practice address
514 N California Ave
Beaumont, CA 92223-2113
Phone
(760) 808-9804
Fax
(909) 571-0011
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Mr. Alfredo M. Huerta, LCSWNPI 1144321308
Title
Family Therapist
Phone
(760) 808-9804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

514 N California Ave
Beaumont, CA 92223-2113

Mailing address

PO Box 532
Beaumont, CA 92223-0532
Phone (760) 808-9804

National Provider Directory

National Provider Directory

Locations

514 N California Ave
Ste 19
Beaumont, CA 92223
Phone (760) 808-9804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1518584093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922230532",
            "telephone_number": "760-808-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 N CALIFORNIA AVE",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232113",
            "telephone_number": "760-808-9804",
            "fax_number": "909-571-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL FAMILY SOLUTIONS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "FAMILY THERAPIST",
        "authorized_official_telephone_number": "760-808-9804",
        "authorized_official_name_prefix": "Mr.",
        "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": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.