Organization Active NPI

Change and New Beginnings

  • Case Management Agency
  • Fairfield, CA
National Provider Identifier
1861187312
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CHANGE AND NEW BEGINNINGS
Practice address
416 Union Ave
Fairfield, CA 94533-6320
Phone
(707) 427-1148
NPI assigned
Apr 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Kari Rader
Title
Executive Director
Phone
(707) 332-8502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

416 Union Ave
Fairfield, CA 94533-6320

Mailing address

416 Union Ave
Fairfield, CA 94533-6320
Phone (707) 427-1148

Other names 1

  • Community Action North Bay Former legal business name

National Provider Directory

National Provider Directory

Locations

416 Union Ave
Fairfield, CA 94533
Phone (707) 427-1148

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1861187312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 UNION AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336320",
            "telephone_number": "707-427-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 UNION AVE",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336320",
            "telephone_number": "707-427-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE AND NEW BEGINNINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-332-8502"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Action North Bay",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 10, 2023; 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.