Organization Active NPI

Norman a Croom

  • Counselor
  • Victorville, CA
National Provider Identifier
1700920477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
00339 Issued in CA
Legal business name
NORMAN A CROOM
Practice address
12625 Hesperia Rd
Victorville, CA 92395
Phone
(760) 243-1176
Fax
(760) 955-2356
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Norman Arthur Croom, FACT
Title
Alcohol Drug Counselor
Phone
(760) 243-1176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 00339 CA Primary

Addresses

Primary practice location

12625 Hesperia Rd
Victorville, CA 92395

Mailing address

2661 Cincinnati St
San Bernardino, CA 92407
Phone (760) 955-1777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700920477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 CINCINNATI ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92407",
            "telephone_number": "760-955-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-243-1176",
            "fax_number": "760-955-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN A CROOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROOM",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "ALCOHOL DRUG COUNSELOR",
        "authorized_official_telephone_number": "760-243-1176",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": "00339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.