NPIMap

Organization Active NPI

Nexus Therapies LLC

  • Early Intervention Provider Agency
  • Fairfield, CA
National Provider Identifier
1831752781
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
NEXUS THERAPIES LLC
Practice address
490 Chadbourne Rd Ste A131
Fairfield, CA 94534-1862
Phone
(844) 636-3987
NPI assigned
Apr 17, 2019
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Victor CejaNPI 1407542202
Title
President
Phone
(844) 636-3987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

490 Chadbourne Rd Ste A131
Fairfield, CA 94534-1862

Mailing address

490 Chadbourne Rd Ste A131
Fairfield, CA 94534-1862
Phone (844) 636-3987

Other practice location 1

2401 Waterman Blvd Ste A4-230
Fairfield, CA 94534-1800
Phone (340) 639-8917

National Provider Directory

National Provider Directory

Locations

2401 Waterman Blvd
Ste A4230
Fairfield, CA 94534
Phone (340) 639-8917

490 Chadbourne Rd
Ste A131
Fairfield, CA 94534
Phone (707) 341-9949

490 Chadbourne Rd
Ste A127
Fairfield, CA 94534

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1831752781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 CHADBOURNE RD STE A131",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341862",
            "telephone_number": "844-636-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 CHADBOURNE RD STE A131",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341862",
            "telephone_number": "844-636-3987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 Waterman Blvd Ste A4-230",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945341800",
            "country_code": "US",
            "telephone_number": "340-639-8917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEXUS THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "CEJA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-636-3987"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.