Organization Active NPI

Sigma Beta XI Inc.

  • Community/Behavioral Health Agency
  • Moreno Valley, CA
National Provider Identifier
1780120436
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SIGMA BETA XI INC.
Practice address
14340 Elsworth St
B112/113
Moreno Valley, CA 92553-9019
Phone
(951) 247-1700
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Corey Jackson
Title
Ceo
Phone
(951) 247-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

14340 Elsworth St
B112/113
Moreno Valley, CA 92553-9019

Mailing address

14340 Elsworth St
B112/113
Moreno Valley, CA 92553-9019
Phone (951) 247-1700

National Provider Directory

National Provider Directory
Tax ID family
SBX Youth and Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14340 Elsworth St
#B112113
Moreno Valley, CA 92553
Phone (951) 247-1700

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1780120436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14340 ELSWORTH ST",
            "address_2": "B112/113",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539019",
            "telephone_number": "951-247-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14340 ELSWORTH ST",
            "address_2": "B112/113",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539019",
            "telephone_number": "951-247-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGMA BETA XI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-247-1700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.