San Bernardino County

Organization Active NPI Community/Behavioral Health Agency · Victorville, CA

NPI 1740468909 · NPPES record last updated Feb 8, 2008

Key facts

NPI
1740468909
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
SAN BERNARDINO COUNTY
Practice address
12625 Hesperia Rd
Victorville, CA 92395-7720
Phone
(760) 245-6698
NPI assigned
Feb 8, 2008
Organization subpart
No

Authorized official

Name
Ms. Frances Marie Quiroz, AA
Title
Peer & Family
Phone
(760) 245-6694

National Provider Directory

Locations

12625 Hesperia Rd
Victorville, CA 92395
Phone (760) 955-1777

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

12625 Hesperia Rd
Victorville, CA 92395-7720

Mailing address

12625 Hesperia Rd
Victorville, CA 92395-7720
Phone (760) 245-6698

Other identifiers

IdentifierTypeStateIssuer
1086FRANCESOtherCAMEDI-CAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2008.

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1740468909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957720",
            "telephone_number": "760-245-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957720",
            "telephone_number": "760-245-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BERNARDINO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "QUIROZ",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PEER & FAMILY",
        "authorized_official_telephone_number": "760-245-6694",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1086FRANCES",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

All providers in Victorville, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.