NPIMap

Organization Active NPI

Fresh Beginning, Inc.

  • Substance Abuse Rehabilitation Facility
  • Tracy, CA
National Provider Identifier
1689920282
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FRESH BEGINNING, INC.
Practice address
1852 W. 11TH Street
#699
Tracy, CA 95376
Phone
(209) 830-7400
Fax
(209) 833-8386
NPI assigned
Aug 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Dr. Valerie Sims, M.D.NPI 1700129764
Title
Director
Phone
(209) 830-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1852 W. 11TH Street
#699
Tracy, CA 95376

Mailing address

72 W 11TH St
Suite a
Tracy, CA 95376-3906
Phone (209) 830-7400

National Provider Directory

National Provider Directory
Tax ID family
Fresh Beginning Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

72 W 11th St
Ste A
Tracy, CA 95376
Phone (209) 814-7451

Practitioners & affiliated clinicians

Practitioners 3

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": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1689920282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 W 11TH ST",
            "address_2": "SUITE A",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763906",
            "telephone_number": "209-830-7400",
            "fax_number": "209-833-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 W. 11TH STREET",
            "address_2": "#699",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-830-7400",
            "fax_number": "209-833-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH BEGINNING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-830-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.