Active NPI
Sigma Beta XI Inc.
- Community/Behavioral Health Agency
- Moreno Valley, CA
National Provider Identifier
1780120436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Health Worker
- Moreno Valley, CA
- NPI 1689309031
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.