NPIMap

Organization Active NPI

Coalition to Reduce Underage Drinking, Inc.

  • Community/Behavioral Health Agency
  • Indio, CA
National Provider Identifier
1972772820
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COALITION TO REDUCE UNDERAGE DRINKING, INC.
Practice address
82500 US Highway 111
Suite 4
Indio, CA 92201-5661
Phone
(760) 342-5959
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Mr. Scott Trujillo
Title
Board President
Phone
(760) 391-4172

Specialties & licenses 1

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

Addresses

Primary practice location

82500 US Highway 111
Suite 4
Indio, CA 92201-5661

Mailing address

82500 US Highway 111
Suite 4
Indio, CA 92201-5661
Phone (760) 342-5959

National Provider Directory

National Provider Directory

Locations

82500 US Highway 111
Ste 4
Indio, CA 92201
Phone (760) 342-5959

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1972772820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82500 US HIGHWAY 111",
            "address_2": "SUITE 4",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015661",
            "telephone_number": "760-342-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82500 US HIGHWAY 111",
            "address_2": "SUITE 4",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015661",
            "telephone_number": "760-342-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALITION TO REDUCE UNDERAGE DRINKING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "BOARD PRESIDENT",
        "authorized_official_telephone_number": "760-391-4172",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.