Organization Active NPI

Rebuilding Family Therapy

  • Marriage & Family Therapist
  • San Bernardino, CA
National Provider Identifier
1760126247
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Eseoghene Oniwor, LMFTNPI 1174724678
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.