California Service Dog Academy

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

CALIFORNIA SERVICE DOG ACADEMY

Practice address

18701 Lort Dr
Visalia, CA 93292-9652

Phone

(866) 382-9917

NPI assigned

Feb 13, 2019

Last updated

Feb 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Corso

Title

Executive Director

Phone

(866) 382-9917

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1699231738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18701 LORT DR",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932929652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18701 LORT DR",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932929652",
            "telephone_number": "866-382-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SERVICE DOG ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "CORSO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "866-382-9917"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Medical Imaging Associates GP
• California Medical Imaging Associates, Inc
• California Medical Imaging Associates, Inc
• California Palliative Care Inc (Michael Nisco MD)
• California Retina Consultants
• Kathina Calip
• Andrea Renee Callas, PHARMD
• Craig Calloway, M.D.
• Kristal Calloway, AUDIOLOGIST
• Steven Calvario

• Voluntary or Charitable Agency in Visalia, CA
• Providers in Visalia, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.