NPIMap

Organization Active NPI

Life Builders Incorporated

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1679230809
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LIFE BUILDERS INCORPORATED
Practice address
11175 Azusa CT Ste 110
Rancho Cucamonga, CA 91730-4933
Phone
(626) 469-1158
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Shawn Dandy
Title
HR Manager
Phone
(626) 831-1721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

11175 Azusa CT Ste 110
Rancho Cucamonga, CA 91730-4933

Mailing address

10808 Foothill Blvd # 160-154
Rancho Cucamonga, CA 91730-3889

Other names 1

  • Life Builders Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbetts@life-builders.org Direct

National Provider Directory

National Provider Directory

Locations

10808 Foothill Blvd
#160154
Rancho Cucamonga, CA 91730

16519 Victor St
#400401
Victorville, CA 92395

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1679230809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 FOOTHILL BLVD # 160-154",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 AZUSA CT STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304933",
            "telephone_number": "626-469-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BUILDERS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "DANDY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "626-831-1721"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbetts@life-builders.org",
            "affiliation": "N",
            "endpointDescription": "Secure business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3200 E Guasti Rd Ste 100",
            "city": "Ontario",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917618661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Life Builders",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Life Builders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.