Organization Active NPI

Club Staffing

  • Early Intervention Provider Agency
  • Sherman Oaks, CA
National Provider Identifier
1548458268
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
CLUB STAFFING
Practice address
5435 Kester Ave Apt 210
Sherman Oaks, CA 91411-3778
Phone
(508) 259-2125
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Jake Nyborn
Title
Recruiter
Phone
(800) 875-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

5435 Kester Ave Apt 210
Sherman Oaks, CA 91411-3778

Mailing address

5435 Kester Ave Apt 210
Sherman Oaks, CA 91411-3778
Phone (508) 259-2125

National Provider Directory

National Provider Directory
Tax ID family
NFSG Veterans Health System107 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1548458268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5435 KESTER AVE APT 210",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113778",
            "telephone_number": "508-259-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5435 KESTER AVE APT 210",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914113778",
            "telephone_number": "508-259-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUB STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "NYBORN",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "RECRUITER",
        "authorized_official_telephone_number": "800-875-8999"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.