Creative Child and Family Services, Inc.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

CREATIVE CHILD AND FAMILY SERVICES, INC.

Practice address

7049 Ohio River Dr
Eastvale, CA 91752

Phone

(310) 946-2398

Fax

(951) 479-5169

NPI assigned

May 20, 2019

Last updated

May 20, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

CREATIVE CHILD AND FAMILY SERVICES, INAs reported in NPPES

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

Authorized official

Name

Barbara Timmons

Title

Ceo

Phone

(310) 946-2398

Specialties & licenses 1

Addresses

Part of

Creative Child and Family Services Inc

Locations

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1720645328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 E. 6TH STREET",
            "address_2": "A-4 #102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "909-548-2959",
            "fax_number": "951-479-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7049 OHIO RIVER DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "91752",
            "telephone_number": "310-946-2398",
            "fax_number": "951-479-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CHILD AND FAMILY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CREATIVE CHILD AND FAMILY SERVICES, IN",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-946-2398"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.