Organization Active NPI

Individualitea and Coffee Company

  • Home Delivered Meals
  • Tustin, CA
National Provider Identifier
1558642199
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
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

Updated by the provider on Sep 8, 2011

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.