Organization Active NPI

Family Promise of Orange County

  • Supports Brokerage Agency
  • Anaheim, CA
National Provider Identifier
1881315877
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
FAMILY PROMISE OF ORANGE COUNTY
Practice address
310 W Broadway
Anaheim, CA 92805-3838
Phone
(714) 353-0428
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Cyndee Albertson
Title
Executive Director
Phone
(714) 353-0428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

310 W Broadway
Anaheim, CA 92805-3838

Mailing address

174 W Lincoln Ave # 624
Anaheim, CA 92805-2901
Phone (714) 353-0428

National Provider Directory

National Provider Directory

Locations

310 W Broadway
Anaheim, CA 92805
Phone (714) 353-0428

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1881315877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 W LINCOLN AVE # 624",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052901",
            "telephone_number": "714-353-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W BROADWAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053838",
            "telephone_number": "714-353-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PROMISE OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "ALBERTSON",
        "authorized_official_first_name": "CYNDEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-353-0428"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.