CDCR/Cim

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

PSY13916 Issued in CA

Legal business name

CDCR/CIM

Practice address

14901 Central Ave
Chino, CA 91710-9500

Phone

(909) 606-7159

Fax

(909) 606-7044

NPI assigned

Jul 22, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Victor Steven Jordan, PH.D.

Title

Chief of Mental Health

Phone

(909) 606-7159

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1568879591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917109500",
            "telephone_number": "909-606-7159",
            "fax_number": "909-606-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917109500",
            "telephone_number": "909-606-7159",
            "fax_number": "909-606-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDCR/CIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF OF MENTAL HEALTH",
        "authorized_official_telephone_number": "909-606-7159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "PSY13916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie A. Carson, LMFT
• Angelique Babette Carter, RN, FNP
• Norman Sheridan Carter, DDS MS
• Gonzalo P Casilang Jr.
• Nathalie Elliette Castillo
• Renee Ceballos
• Cedar Blossom Senior Living Inc
• Brianna Celaya
• Central Care Physical Therapy
• Central Care Physical Therapy, Inc

• Psychiatric Hospital in Chino, CA
• Providers in Chino, CA by specialty
• Psychiatric Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.