Active NPI
Rebuilding Family Therapy
- Marriage & Family Therapist
- San Bernardino, CA
National Provider Identifier
1760126247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- REBUILDING FAMILY THERAPY
- Practice address
- 2999 Kendall Drive Ste 204 PMB 1055
San Bernardino, CA 92407 - Phone
- (855) 723-2659
- NPI assigned
- Apr 21, 2022
- 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
- Eseoghene Oniwor, LMFT
- Title
- Owner/Chief Executive Officer
- Phone
- (909) 644-6161
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
2999 Kendall Drive Ste 204 PMB 1055
San Bernardino, CA 92407
Mailing address
15218 Summit Ave # 428
Fontana, CA 92336-0232
Phone (855) 723-2659
National Provider Directory
National Provider DirectoryLocations
15218 Summit Ave
#428
Fontana, CA 92336
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Rancho Cucamonga, CA
- NPI 1174724678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650585600000",
"number": "1760126247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15218 SUMMIT AVE # 428",
"city": "FONTANA",
"state": "CA",
"postal_code": "923360232",
"telephone_number": "855-723-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 KENDALL DRIVE STE 204 PMB 1055",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92407",
"telephone_number": "855-723-2659"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBUILDING FAMILY THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-21",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A",
"authorized_official_last_name": "ONIWOR",
"authorized_official_first_name": "ESEOGHENE",
"authorized_official_title_or_position": "OWNER/CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "909-644-6161",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.