NPIMap

Organization Active NPI

County of San Bernardino

  • Case Management Agency
  • San Bernardino, CA
National Provider Identifier
1700697158
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COUNTY OF SAN BERNARDINO
Practice address
560 E Hospitality LN Ste 200
San Bernardino, CA 92408-3545
Phone
(909) 501-0612
NPI assigned
Jan 15, 2025
Organization subpart
Yes
Parent organization
OFFICE OF HOMELESS SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Marcus Dillard
Title
Chief of Homeless Services
Phone
(909) 501-0644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

560 E Hospitality LN Ste 200
San Bernardino, CA 92408-3545

Mailing address

560 E Hospitality LN Ste 200
San Bernardino, CA 92408-3545
Phone (909) 501-0612

Other names 1

  • Office of Homeless Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
San Bernardino County D142 organizations share this tax ID, including this one
Part of
San Bernardino County D

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

560 E Hospitality Ln
Ste 200
San Bernardino, CA 92408
Phone (909) 501-0612

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1700697158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 E HOSPITALITY LN STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083545",
            "telephone_number": "909-501-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 E HOSPITALITY LN STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083545",
            "telephone_number": "909-501-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN BERNARDINO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OFFICE OF HOMELESS SERVICES",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "DILLARD",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "CHIEF OF HOMELESS SERVICES",
        "authorized_official_telephone_number": "909-501-0644"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Office of Homeless Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 15, 2025; 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.