Organization Active NPI

Nuevo Amanecer Latino Children'S Services

  • Foster Care Agency
  • San Bernardino, CA
National Provider Identifier
1922456144
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
366408237 Issued in CA
Legal business name
NUEVO AMANECER LATINO CHILDREN'S SERVICES
Practice address
2025 N D St
San Bernardino, CA 92405-3913
Phone
(909) 475-8793
Fax
(909) 886-4958
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Norma Duque
Title
President & Ceo
Phone
(323) 750-9951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 366408237 CA Primary

Addresses

Primary practice location

2025 N D St
San Bernardino, CA 92405-3913

Mailing address

5400 Pomona Blvd
Los Angeles, CA 90022-1717
Phone (323) 720-9951

National Provider Directory

National Provider Directory
Tax ID family
Nuevo Amanecer Latino Children'S Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2025 N D St
Sn Bernrdno, CA 92405
Phone (909) 475-8793

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1922456144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 POMONA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221717",
            "telephone_number": "323-720-9951",
            "fax_number": "323-720-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053913",
            "telephone_number": "909-475-8793",
            "fax_number": "909-886-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVO AMANECER LATINO CHILDREN'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "323-750-9951"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CA",
            "license": "366408237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 9, 2021; 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.