Angeles Especiales Parent Support Group

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ANGELES ESPECIALES PARENT SUPPORT GROUP

Practice address

17644 Vine CT
Fontana, CA 92335-3768

Phone

(909) 699-3614

NPI assigned

Sep 5, 2024

Last updated

Sep 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Helen Neri, CEONPI 1962246074

Title

Director

Phone

(909) 699-3614

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Helen Neri

  • Community Health Worker
  • Fontana, CA
  • NPI 1962246074
  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1629803804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17644 VINE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353768",
            "telephone_number": "909-699-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17644 VINE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353768",
            "telephone_number": "909-699-3614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17080 Arrow Blvd",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923353807",
            "country_code": "US",
            "telephone_number": "909-699-3614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGELES ESPECIALES PARENT SUPPORT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "NERI",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "909-699-3614",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Jan Chouckry Andrawes
• Andrew S. Chen, M.D., Inc.
• Esteban Andryjowicz, MD
• Dorcas C. Ang, MD
• Angel 1004 Residential Home
• Angelina V Rodriguez (empire ketone center)
• Adrian James Angelo
• Angels Assisted Living
• Esther Anguiano
• Hector E. Anguiano, MD

• Community/Behavioral Health Agency in Fontana, CA
• Providers in Fontana, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.