Organization Active NPI

Trinity Advancement Center of the Inland Empire

  • Behavior Analyst
  • San Bernardino, CA
National Provider Identifier
1548090277
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TRINITY ADVANCEMENT CENTER OF THE INLAND EMPIRE
Practice address
2999 Kendall Dr Ste 2041044
San Bernardino, CA 92407-2415
Phone
(909) 990-1629
NPI assigned
Aug 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Jess Moralde
Title
President
Phone
(231) 492-0583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

2999 Kendall Dr Ste 2041044
San Bernardino, CA 92407-2415

Mailing address

2999 Kendall Dr Ste 2041044
San Bernardino, CA 92407-2415
Phone (909) 990-1629

National Provider Directory

National Provider Directory

Locations

2999 Kendall Dr
Ste 2041044
San Bernardino, CA 92407
Phone (909) 990-1629

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1548090277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 KENDALL DR STE 2041044",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072415",
            "telephone_number": "909-990-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 KENDALL DR STE 2041044",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924072415",
            "telephone_number": "909-990-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY ADVANCEMENT CENTER OF THE INLAND EMPIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "MORALDE",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-492-0583"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2024; 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.