NPIMap

Organization Active NPI

County of San Bernardino

Doing business as Child & Youth Connections - Children's Assessment Center

  • Adolescent and Children Mental Health Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1982006243
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COUNTY OF SAN BERNARDINO
Doing business as
Child & Youth Connections - Children's Assessment Center
Practice address
700 E Gilbert St
San Bernardino, CA 92415
Phone
(909) 382-3535
Fax
(909) 383-3830
NPI assigned
Sep 18, 2014
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Ms. Erica Ochoa
Title
Chief Compliance Officer
Phone
(909) 388-0882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

700 E Gilbert St
San Bernardino, CA 92415

Mailing address

303 E Vanderbilt Way
San Bernardino, CA 92408-3551
Phone (909) 388-0801

Other names 1

  • Child & Youth Connections - Children's Assessment Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982006243. Details of each certification follow.

Hospital certification: CCN 054066

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SAN BERNARDINO COUNTY MED CENTER
Certification status
Terminated Other: provider status change, Jun 30, 1999
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1976
Last certification
Oct 19, 1993
Beds
286 (58 certified)
Ownership / control type
Local
Facility address
700 E Gilbert St
San Bernardino, CA 92415

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1062015Llumc Children's Assessment Center700 E Gilbert St, San Bernardino, CA 92415Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory
Tax ID family
San Bernardino Co HLTH143 organizations share this tax ID, including this one
Part of
San Bernardino Co HLTH

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

700 E Gilbert St
Sn Bernrdno, CA 92415
Phone (909) 382-3535

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1982006243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E VANDERBILT WAY",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083551",
            "telephone_number": "909-388-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E GILBERT ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92415",
            "telephone_number": "909-382-3535",
            "fax_number": "909-383-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAN BERNARDINO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF BEHAVIORAL HEALTH",
        "enumeration_date": "2014-09-18",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "909-388-0882",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child & Youth Connections - Children's Assessment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Child & Youth Connections - Children's Assessment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.