NPIMap

Organization Active NPI

Community Violence Solutions

  • Voluntary or Charitable Agency
  • Martinez, CA
National Provider Identifier
1831533041
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
COMMUNITY VIOLENCE SOLUTIONS
Practice address
3755 Alhambra Ave
Suite 9
Martinez, CA 94553-3833
Phone
(925) 646-2305
Fax
(925) 646-1552
NPI assigned
Apr 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Andrees Montilliano, MSW
Title
Executive Director
Phone
(510) 307-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

3755 Alhambra Ave
Suite 9
Martinez, CA 94553-3833

Mailing address

2101 Van Ness St
San Pablo, CA 94806-3622
Phone (510) 237-0113

Other names 1

  • Children's Interview Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Children'S Interview Center2 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

3755 Alhambra Ave
Ste 9
Martinez, CA 94553
Phone (925) 646-2305

Practitioners & affiliated clinicians

Practitioners 5

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": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1831533041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 VAN NESS ST",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063622",
            "telephone_number": "510-237-0113",
            "fax_number": "510-237-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 ALHAMBRA AVE",
            "address_2": "SUITE 9",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533833",
            "telephone_number": "925-646-2305",
            "fax_number": "925-646-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY VIOLENCE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "MONTILLIANO",
        "authorized_official_first_name": "ANDREES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-307-4112",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Interview Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martinez, CA

Sources for this page

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