Active NPI
Inland Empire Community Outreach Center
- Addiction (Substance Use Disorder) Counselor
- San Bernardino, CA
National Provider Identifier
1689210775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- INLAND EMPIRE COMMUNITY OUTREACH CENTER
- Practice address
- 473 East Carnegie Drive
Suite 200
San Bernardino, CA 92408 - Phone
- (909) 269-9403
- NPI assigned
- Nov 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Velveth Melissa Love, B.S. BIOLOGY
- Title
- Director
- Phone
- (909) 269-9403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
473 East Carnegie Drive
Suite 200
San Bernardino, CA 92408
Mailing address
473 East Carnegie Drive
Suite 200
San Bernardino, CA 92408
Phone (909) 269-9403
National Provider Directory
National Provider DirectoryLocations
363 W 6th St
Ste 4
San Bernardino, CA 92401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703462400000",
"number": "1689210775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 EAST CARNEGIE DRIVE",
"address_2": "SUITE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408",
"telephone_number": "909-269-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 EAST CARNEGIE DRIVE",
"address_2": "SUITE 200",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408",
"telephone_number": "909-269-9403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INLAND EMPIRE COMMUNITY OUTREACH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-23",
"last_updated": "2023-12-25",
"certification_date": "2023-12-25",
"status": "A",
"authorized_official_last_name": "LOVE",
"authorized_official_first_name": "VELVETH",
"authorized_official_middle_name": "MELISSA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "909-269-9403",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "B.S. BIOLOGY"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
- Inland Counties Regional Center
- Inland Dental Center
- Inland Dermatology Medical Group Inc
- Inland Empire Autism Spectrum Disorder Assessment Center of Excellence
- Inland Empire Cardiovascular Consultants, Inc.
- Inland Empire Counseling
- Inland Empire Health Centers
- Inland Empire Health Centers
- Inland Empire Job Corps Center
- Inland Empire Medical Imaging LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.