Organization Active NPI

Inland Empire Community Outreach Center

  • Addiction (Substance Use Disorder) Counselor
  • San Bernardino, CA
National Provider Identifier
1689210775
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Dec 25, 2023

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.