Champions Charter Academy

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CHAMPIONS CHARTER ACADEMY

Doing business as

Champions Charter Services

Practice address

1370 Valley Vista Dr Ste 230
Diamond Bar, CA 91765-3950

Phone

(909) 861-2315

Fax

(877) 444-0409

NPI assigned

Nov 30, 2016

Organization subpart

No

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

Authorized official

Name

Nessa Herron, M.S.

Title

Ceo/ Director

Phone

(909) 861-2315

Specialties & licenses 1

Addresses

Other names 1

• Champions Charter Services Doing business as

Locations

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1801339361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 VALLEY VISTA DR STE 230",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653950",
            "telephone_number": "909-861-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 VALLEY VISTA DR STE 230",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653950",
            "telephone_number": "909-861-2315",
            "fax_number": "877-444-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPIONS CHARTER ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "NESSA",
        "authorized_official_title_or_position": "CEO/ DIRECTOR",
        "authorized_official_telephone_number": "909-861-2315",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champions Charter Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Medical Clinic
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• Blessy Chacko, SPEECH-LANGUAGE PATH
• Jose Chafart
• Steve Li Chan, MD
• Alice Darwin Chang
• Glenn Hsuan Chen Chang, D.D.S.
• Hsing Wen Chang, OT
• Jane Chang, OTD

• In Home Supportive Care Agency in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.