Organization Active NPI

Family Service Agency of the Central Coast

Doing business as Family Service Agency

  • Community/Behavioral Health Agency
  • Soquel, CA
National Provider Identifier
1891240131
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SERVICE AGENCY OF THE CENTRAL COAST
Doing business as
Family Service Agency
Practice address
2901 Park Ave
Suite A3
Soquel, CA 95073-2831
Phone
(831) 346-6767
Fax
(831) 346-6771
NPI assigned
Aug 16, 2016
Last updated
Aug 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Authorized official

Name
Mr. David A Bianchi
Title
Executive Director
Phone
(831) 423-9444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2901 Park Ave
Suite A3
Soquel, CA 95073-2831

Mailing address

2901 Park Ave
Suite A3
Soquel, CA 95073-2831
Phone (831) 346-6767

Other names 1

  • Family Service Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Services Organization of the Central Coast9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 12

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": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1891240131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 PARK AVE",
            "address_2": "SUITE A3",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732831",
            "telephone_number": "831-346-6767",
            "fax_number": "831-346-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 PARK AVE",
            "address_2": "SUITE A3",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732831",
            "telephone_number": "831-346-6767",
            "fax_number": "831-346-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE AGENCY OF THE CENTRAL COAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "BIANCHI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "831-423-9444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Service Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.