Organization Active NPI

Revision

  • Community/Behavioral Health Agency
  • Anaheim, CA
National Provider Identifier
1699220236
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REVISION
Practice address
136 S Imperial Hwy
Anaheim, CA 92807-3943
Phone
(714) 602-8855
NPI assigned
Aug 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Mr. James Frank Sando
Title
Vice Chair, Board of Directors
Phone
(714) 206-7754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

136 S Imperial Hwy
Anaheim, CA 92807-3943

Mailing address

136 S Imperial Hwy
Anaheim, CA 92807-3943
Phone (714) 602-8855

Other names 1

  • Revision Counseling Other name

National Provider Directory

National Provider Directory

Locations

136 S Imperial Hwy
Anaheim, CA 92807
Phone (562) 879-7996

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1699220236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S IMPERIAL HWY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073943",
            "telephone_number": "714-602-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S IMPERIAL HWY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073943",
            "telephone_number": "714-602-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "SANDO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "VICE CHAIR, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "714-206-7754",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revision Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.