NPIMap

Organization Active NPI

2020 Vision Youth

  • Health & Wellness Coach
  • La Mirada, CA
National Provider Identifier
1750147120
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
2020 VISION YOUTH
Practice address
14241 Firestone Blvd Ste 225
La Mirada, CA 90638-5533
Phone
(213) 691-2522
NPI assigned
Feb 23, 2024
Last updated
Feb 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Authorized official

Name
Cory HollamanNPI 1477308096
Title
Chief Excutive Officer
Phone
(909) 486-8690

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X

Addresses

Primary practice location

14241 Firestone Blvd Ste 225
La Mirada, CA 90638-5533

Mailing address

967 Kendall Dr Ste 332
San Bernardino, CA 92407-4306

Other practice location 1

330 N D St Ste 320
San Bernardino, CA 92401-1545
Phone (909) 893-2782

National Provider Directory

National Provider Directory

Locations

14241 Firestone Blvd
Ste 225
La Mirada, CA 90638
Phone (213) 691-2522

330 N D St
Ste 320
San Bernardino, CA 92401
Phone (909) 893-2782

967 Kendall Dr
Ste 332
San Bernardino, CA 92407

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772236800000",
    "number": "1750147120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 KENDALL DR STE 332",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924074306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 FIRESTONE BLVD STE 225",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385533",
            "telephone_number": "213-691-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 N D St Ste 320",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011545",
            "country_code": "US",
            "telephone_number": "909-893-2782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "2020 VISION YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A",
        "authorized_official_last_name": "HOLLAMAN",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "CHIEF EXCUTIVE OFFICER",
        "authorized_official_telephone_number": "909-486-8690"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.