Organization Active NPI

Back in the Saddle Inc

  • Community Health Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1821282161
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
BACK IN THE SADDLE INC
Practice address
9775 Mockingbird Ave
Apple Valley, CA 92308-8341
Phone
(760) 240-3217
Fax
(760) 240-3274
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Mr. Isaac Mutabazi
Title
Ceo
Phone
(760) 240-3217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X CA Primary

Addresses

Primary practice location

9775 Mockingbird Ave
Apple Valley, CA 92308-8341

Mailing address

9775 Mockingbird Ave
Apple Valley, CA 92308-8341
Phone (760) 240-3217

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1821282161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 MOCKINGBIRD AVE",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088341",
            "telephone_number": "760-240-3217",
            "fax_number": "760-240-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 MOCKINGBIRD AVE",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088341",
            "telephone_number": "760-240-3217",
            "fax_number": "760-240-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN THE SADDLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "MUTABAZI",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-240-3217",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.