Active NPI
Norman a Croom
- Counselor
- Victorville, CA
National Provider Identifier
1700920477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00339
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 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 DirectoryNPI 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.