Organization Active NPI

Sahaba Initiative

  • Early Intervention Provider Agency
  • San Bernardino, CA
National Provider Identifier
1861194672
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SAHABA INITIATIVE
Practice address
1887 Business Center Dr Ste 3a
San Bernardino, CA 92408-3445
Phone
(909) 381-3002
NPI assigned
Mar 17, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Malek Bendelhoum
Title
Executive Director
Phone
(909) 381-3002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

1887 Business Center Dr Ste 3a
San Bernardino, CA 92408-3445

Mailing address

1887 Business Center Dr Ste 3a
San Bernardino, CA 92408-3445
Phone (909) 381-3002

National Provider Directory

National Provider Directory

Locations

1887 Business Center Dr
Ste 3A
San Bernardino, CA 92408
Phone (909) 381-3002

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": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1861194672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 BUSINESS CENTER DR STE 3A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083445",
            "telephone_number": "909-381-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 BUSINESS CENTER DR STE 3A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083445",
            "telephone_number": "909-381-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHABA INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "BENDELHOUM",
        "authorized_official_first_name": "MALEK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-381-3002"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.