Alternate Avenues Womens Resource Center

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

240000855 Issued in CA

Legal business name

ALTERNATE AVENUES WOMENS RESOURCE CENTER

Practice address

17057 Foothill Blvd Ste 204
Fontana, CA 92335-3574

Phone

(909) 621-4800

Fax

(909) 232-8466

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Kerry Jepson

Title

Chief Executive Officer

Phone

(909) 621-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Assure Pregnancy Clinic Doing business as
• Alternate Avenues Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1669529863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1462",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923341462",
            "telephone_number": "909-621-4800",
            "fax_number": "909-398-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17057 FOOTHILL BLVD STE 204",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353574",
            "telephone_number": "909-621-4800",
            "fax_number": "909-232-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATE AVENUES WOMENS RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "JEPSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-621-4800"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "240000855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM71007F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assure Pregnancy Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alternate Avenues",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Alternate Avenues",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alondra Loya
• Leopoldo John Alonzo, MD
• Alpha Medical Transportation LLC
• Rami Alsabbagh
• Anje'Le Zhantil Alston
• Greg G Altman, PA
• Catherine C Altraide
• Nathaly Alessandra Alva
• Sofia Carol Alvarenga
• April Alvarez, LCSW

• Voluntary or Charitable Agency in Fontana, CA
• Providers in Fontana, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.