Black Swan Services

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

BLACK SWAN SERVICES

Practice address

6230 Greenhaven Dr Apt 117
Sacramento, CA 95831-1639

Phone

(916) 862-6899

NPI assigned

Dec 23, 2022

Organization subpart

No

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

Authorized official

Name

Chidi Omeze

Title

Owner

Phone

(916) 862-6899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1891407615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6230 GREENHAVEN DR APT 117",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311639",
            "telephone_number": "916-862-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 GREENHAVEN DR APT 117",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311639",
            "telephone_number": "916-862-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK SWAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "OMEZE",
        "authorized_official_first_name": "CHIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-862-6899"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelaine Bixler, LMFT
• Eule Nagrampa Biyo, M.D.
• Jens Bjerregaard, M.D.
• Erin Solberg Bjork, MPT
• Lori Bjork, MD
• Stephanie Black-Legrande, LCSW
• Amy Williams Black, MD
• Betty Lou Black
• Carrie Black, MD
• Hugh B Black, MD

• Driver in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.