NPIMap

Organization Active NPI

Fresh Beginnings

  • Community/Behavioral Health Agency
  • Tracy, CA
National Provider Identifier
1730404112
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
390031AN Issued in CA
Legal business name
FRESH BEGINNINGS
Practice address
72 W 11TH St
Suite a
Tracy, CA 95376-3906
Phone
(209) 830-7400
Fax
(209) 833-8386
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Dr. Valerie Elaine SimsNPI 1700129764
Title
Director/Ceo
Phone
(209) 830-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 390031AN CA Primary

Addresses

Primary practice location

72 W 11TH St
Suite a
Tracy, CA 95376-3906

Mailing address

1852 W 11TH St
Tracy, CA 95376-3736
Phone (209) 830-7400

National Provider Directory

National Provider Directory
Tax ID family
Fresh Beginning Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1730404112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 W 11TH ST",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763736",
            "telephone_number": "209-830-7400",
            "fax_number": "209-833-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W 11TH ST",
            "address_2": "SUITE A",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763906",
            "telephone_number": "209-830-7400",
            "fax_number": "209-833-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH BEGINNINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "209-830-7400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "390031AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.