Organization Active NPI

Young Scholars for Academic Empowerment

  • Community/Behavioral Health Agency
  • Riverside, CA
National Provider Identifier
1912415779
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
YOUNG SCHOLARS FOR ACADEMIC EMPOWERMENT
Practice address
4164 Brockton Ave Ste a
Riverside, CA 92501-3400
Phone
(951) 500-8285
NPI assigned
Jan 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Gabriel Maldonado
Title
Ceo
Phone
(951) 500-8285

Specialties & licenses 1

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

Addresses

Primary practice location

4164 Brockton Ave Ste a
Riverside, CA 92501-3400

Mailing address

4164 Brockton Ave Ste a
Riverside, CA 92501-3400
Phone (951) 500-8285

Other names 1

  • TruEvolution, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

4164 Brockton Ave
Ste A
Riverside, CA 92501
Phone (951) 500-8285

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1912415779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4164 BROCKTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013400",
            "telephone_number": "951-500-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 BROCKTON AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013400",
            "telephone_number": "951-500-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG SCHOLARS FOR ACADEMIC EMPOWERMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-500-8285"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TruEvolution, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.