NPIMap

Organization Active NPI

Mexican American Addiction Program, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • North Highlands, CA
National Provider Identifier
1689814592
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
340004CN Issued in CA
Legal business name
MEXICAN AMERICAN ADDICTION PROGRAM, INC.
Practice address
3612 Madison Ave
Suites 29
North Highlands, CA 95660-5068
Phone
(916) 338-6835
Fax
(916) 339-1340
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Mr. Paul Cruz
Title
Executive Director
Phone
(916) 394-3481

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 340004CN CA
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 340004CN CA Primary

Addresses

Primary practice location

3612 Madison Ave
Suites 29
North Highlands, CA 95660-5068

Mailing address

4241 Florin Rd
Suite 65
Sacramento, CA 95823-2535
Phone (916) 394-2323

Other names 1

  • Mexican American Alcoholism Program, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Maap Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3612 Madison Ave
Ste 29
North Highlands, CA 95660
Phone (916) 338-6835

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1689814592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 FLORIN RD",
            "address_2": "SUITE 65",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232535",
            "telephone_number": "916-394-2323",
            "fax_number": "916-394-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 MADISON AVE",
            "address_2": "SUITES 29",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605068",
            "telephone_number": "916-338-6835",
            "fax_number": "916-339-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXICAN AMERICAN ADDICTION PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-394-3481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "340004CN",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "340004CN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mexican American Alcoholism Program, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Highlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.