Active NPI
Individualitea and Coffee Company
- Home Delivered Meals
- Tustin, CA
National Provider Identifier
1558642199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- INDIVIDUALITEA AND COFFEE COMPANY
- Practice address
- 14401 Newport Ave
Tustin, CA 92780-5611 - Phone
- (714) 544-1955
- NPI assigned
- Sep 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Faye Sanders
- Title
- Presidnet
- Phone
- (562) 388-3848
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | CA | Primary |
Addresses
Primary practice location
14401 Newport Ave
Tustin, CA 92780-5611
Mailing address
2286 E Carson St
SP. 529
Long Beach, CA 90807-3044
Phone (562) 388-3848
Other names 1
- IndividualiTEA and Coffee
National Provider Directory
National Provider DirectoryLocations
2286 E Carson St
#529
Long Beach, CA 90807
14401 Newport Ave
Tustin, CA 92780
Phone (714) 544-1955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315440000000",
"number": "1558642199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2286 E CARSON ST",
"address_2": "SP. 529",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073044",
"telephone_number": "562-388-3848",
"fax_number": "562-422-8469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14401 NEWPORT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927805611",
"telephone_number": "714-544-1955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDIVIDUALITEA AND COFFEE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-08",
"last_updated": "2011-09-08",
"status": "A",
"authorized_official_last_name": "SANDERS",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "FAYE",
"authorized_official_title_or_position": "PRESIDNET",
"authorized_official_telephone_number": "562-388-3848",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IndividualiTEA and Coffee",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.