Men and Women of Purpose

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

01-005785 Issued in CA

Legal business name

MEN AND WOMEN OF PURPOSE

Practice address

3029 Macdonald Ave
Richmond, CA 94804-3010

Phone

(510) 919-1302

Fax

(855) 691-9955

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Ricardo Jose Fortenberry, B.S.H.S. CAS II

Title

Chief Executive Officer

Phone

(510) 919-1302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1770919946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948043010",
            "telephone_number": "510-919-1302",
            "fax_number": "855-691-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948043010",
            "telephone_number": "510-919-1302",
            "fax_number": "855-691-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN AND WOMEN OF PURPOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "FORTENBERRY",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-919-1302",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S.H.S.  CAS II"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "01-005785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augustine C. Mekkam, MD
• Philip Gregg Melander, D.D.S.
• Jessica Elizabeth Melara
• Claudia M Melendez
• Evelyn Melendez
• Daphne Mendez
• James Duran Mendez, MD
• Lilian Victoria Mendez, MD
• Adrian Mendoza
• Nicole Mendoza

• Addiction (Substance Use Disorder) Counselor in Richmond, CA
• Providers in Richmond, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.