NPIMap

Organization Active NPI

St. John of God Health Care Services

  • Substance Abuse Rehabilitation Facility
  • Victorville, CA
National Provider Identifier
1881733095
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
360003HN Issued in CA
Legal business name
ST. JOHN OF GOD HEALTH CARE SERVICES
Practice address
13333 Palmdale Rd
Victorville, CA 92392-9364
Phone
(760) 241-4917
Fax
(760) 241-8911
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Mr. Gregory Barnes
Title
Administrator
Phone
(760) 241-4917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 360003HN CA Primary

Addresses

Primary practice location

13333 Palmdale Rd
Victorville, CA 92392-9364

Mailing address

13333 Palmdale Rd
Victorville, CA 92392-9364
Phone (760) 241-4917

National Provider Directory

National Provider Directory
Tax ID family
St John of God Health Care Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1881733095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13333 PALMDALE RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929364",
            "telephone_number": "760-241-4917",
            "fax_number": "760-241-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13333 PALMDALE RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929364",
            "telephone_number": "760-241-4917",
            "fax_number": "760-241-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN OF GOD HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-241-4917",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "360003HN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.