Active NPI
Set Free Sanger
- Case Manager/Care Coordinator
- Sanger, CA
National Provider Identifier
1962207316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- SET FREE SANGER
- Practice address
- 615 Academy Ave
Sanger, CA 93657-2422 - Phone
- (559) 399-3835
- NPI assigned
- Feb 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Zailian
- Title
- Ceo
- Phone
- (559) 304-1883
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Supports Brokerage Agency | 251X00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
615 Academy Ave
Sanger, CA 93657-2422
Mailing address
2716 Holt Ave
Sanger, CA 93657-4249
Phone (559) 399-3835
National Provider Directory
National Provider DirectoryLocations
615 Academy Ave
Sanger, CA 93657
Phone (559) 399-3835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1962207316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 HOLT AVE",
"city": "SANGER",
"state": "CA",
"postal_code": "936574249",
"telephone_number": "559-399-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 ACADEMY AVE",
"city": "SANGER",
"state": "CA",
"postal_code": "936572422",
"telephone_number": "559-399-3835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SET FREE SANGER",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-18",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "ZAILIAN",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "559-304-1883"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanger, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.