Organization Active NPI

Young Men'S Christian Association of the Foothills

  • Health Educator
  • La Canada Flintridge, CA
National Provider Identifier
1770028169
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE FOOTHILLS
Practice address
1930 Foothill Blvd
La Canada Flintridge, CA 91011-1933
Phone
(818) 790-0123
Fax
(818) 790-3774
NPI assigned
Dec 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Mr. Tyler Shayne Wright
Title
President/Ceo
Phone
(818) 790-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

1930 Foothill Blvd
La Canada Flintridge, CA 91011-1933

Mailing address

1930 Foothill Blvd
La Canada Flintridge, CA 91011-1933
Phone (818) 790-0123

National Provider Directory

National Provider Directory

Locations

1930 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 790-0123

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1770028169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 FOOTHILL BLVD",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910111933",
            "telephone_number": "818-790-0123",
            "fax_number": "818-790-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 FOOTHILL BLVD",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910111933",
            "telephone_number": "818-790-0123",
            "fax_number": "818-790-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE FOOTHILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "SHAYNE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-790-0123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada Flintridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.