NPIMap

Organization Active NPI

South Bay Bright Future, Inc.

  • Community/Behavioral Health Agency
  • San Pedro, CA
National Provider Identifier
1548705171
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH BAY BRIGHT FUTURE, INC.
Practice address
2909 S Pacific Ave
San Pedro, CA 90731-6634
Phone
(310) 891-0096
Fax
(310) 891-0195
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Authorized official

Name
Mrs. Laneta Joyce Hill
Title
Chief Executive Officer
Phone
(310) 891-0096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2909 S Pacific Ave
San Pedro, CA 90731-6634

Mailing address

24404 Vermont Ave
Suite 201
Harbor City, CA 90710-2313
Phone (310) 891-0096

Other names 1

  • South Bay Bright Future, Inc. Other name

National Provider Directory

National Provider Directory
Tax ID family
South Bay Bright Future Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1548705171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24404 VERMONT AVE",
            "address_2": "SUITE 201",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102313",
            "telephone_number": "310-891-0096",
            "fax_number": "310-891-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 S PACIFIC AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907316634",
            "telephone_number": "310-891-0096",
            "fax_number": "310-891-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY BRIGHT FUTURE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LANETA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-891-0096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Bright Future, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.