Community Action Partnership of San Bernardino County

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY ACTION PARTNERSHIP OF SAN BERNARDINO COUNTY

Practice address

696 S Tippecanoe Ave
San Bernardino, CA 92408-2607

Phone

(909) 723-1525

Fax

(909) 723-1509

NPI assigned

Sep 20, 2024

Last updated

Sep 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia L. Nickols-Butler

Title

Chief Executive Officer

Phone

(909) 723-1525

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1902623085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 S TIPPECANOE AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082607",
            "telephone_number": "909-723-1525",
            "fax_number": "909-723-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 S TIPPECANOE AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082607",
            "telephone_number": "909-723-1525",
            "fax_number": "909-723-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ACTION PARTNERSHIP OF SAN BERNARDINO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "NICKOLS-BUTLER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-723-1525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.