NPIMap

Organization Active NPI

Veterans Alcohol Rehabilitation Program, Inc.- Varp, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Bernardino, CA
National Provider Identifier
1891152476
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
360004FN Issued in CA
Legal business name
VETERANS ALCOHOL REHABILITATION PROGRAM, INC.- VARP, INC.
Practice address
1107 N. 'D' St.
San Bernardino, CA 92410-3524
Phone
(909) 381-3774
Fax
(909) 381-6845
NPI assigned
Jan 27, 2016
Organization subpart
Yes
Parent organization
VETERANS ALCOHOL REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Mrs. Shelly Mattazaro
Title
Executive Director
Phone
(909) 381-3774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 360004FN CA Primary

Addresses

Primary practice location

1107 N. 'D' St.
San Bernardino, CA 92410-3524

Mailing address

1100 N D St
San Bernardino, CA 92410-3524
Phone (909) 381-3774

Other names 1

  • VARP,INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Veterans Alcohol Rehabilitation Program21 organizations share this tax ID, including this one
Part of
Veterans Alcohol Rehabilitation Program

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1891152476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103524",
            "telephone_number": "909-381-3774",
            "fax_number": "909-381-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N. 'D' ST.",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103524",
            "telephone_number": "909-381-3774",
            "fax_number": "909-381-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ALCOHOL REHABILITATION PROGRAM, INC.- VARP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VETERANS ALCOHOL REHABILITATION",
        "enumeration_date": "2016-01-27",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "MATTAZARO",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "909-381-3774",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "360004FN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VARP,INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VARP,INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 12, 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.