NPIMap

Organization Active NPI

County of del Norte

  • Community/Behavioral Health Agency
  • Crescent City, CA
National Provider Identifier
1851793046
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF DEL NORTE
Practice address
1279 2ND St Ste C
Crescent City, CA 95531-4134
Phone
(707) 464-0860
Fax
(707) 465-0855
NPI assigned
Sep 19, 2014
Last updated
Sep 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Mr. Daniel Cumbra, CADC-II
Title
Program Coordinator
Phone
(707) 464-4813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

1279 2ND St Ste C
Crescent City, CA 95531-4134

Mailing address

1279 2ND St Ste C
Crescent City, CA 95531-4134
Phone (707) 464-4813

Other names 1

  • Department of Health and Human Services Alcohol and Other Drug Other name

National Provider Directory

National Provider Directory
Tax ID family
Heath and Human Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1279 2nd St
Ste C
Crescent City, CA 95531
Phone (707) 464-0860

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1851793046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 2ND ST STE C",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314134",
            "telephone_number": "707-464-4813",
            "fax_number": "707-465-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 2ND ST STE C",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314134",
            "telephone_number": "707-464-0860",
            "fax_number": "707-465-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DEL NORTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "CUMBRA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "707-464-4813",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CADC-II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Health and Human Services Alcohol and Other Drug",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Crescent City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.