COUNTY OF SAN BERNARDINO


Address: 303 E Vanderbilt Way, San Bernardino, CA 92415-0026
Phone: 9093880801

COUNTY OF SAN BERNARDINO (NPI# 1528559333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528559333
Entity Type Organization
Organization Name COUNTY OF SAN BERNARDINO
Other Organization Name FFS LPCC
Practice Address 303 E Vanderbilt Way
San Bernardino
CA 92415-0026
Practice Telephone 9093880801
Practice Fax Number 9098900435
Mailing Telephone 9093880801
Mailing Fax Number 9098900435
Enumeration Date 2018-05-29
Last Update Date 2018-05-29
Authorized Official Name MS. ERICA PORTEOUS (CHIEF COMPLIANCE OFFICER)
Authorized Official Telephone 9093880882
Is Organization Subpart Y
Parent Organization Name DEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities
N 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
FFS LPCC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750931572 County of San Bernardino Community/Behavioral Health 351 N Mt View Ave San Bernardino Ca 92415, San Bernardino, CA 92415-0001 2019-09-13
1063061117 County of San Bernardino Community/Behavioral Health 9445 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0930 2019-09-10
1306495627 County of San Bernardino Community/Behavioral Health 63665 29 Palms Hwy, Joshua Tree, CA 92252-6613 2019-09-09
1891344115 County of San Bernardino Community/Behavioral Health 14931 Dale Evans Pkwy, Apple Valley, CA 92307-3061 2019-09-09
1568947323 County of San Bernardino Community/Behavioral Health 15345 Bonanza Rd, Victorville, CA 92392-2499 2018-09-27
1619452547 County of San Bernardino Community/Behavioral Health 900 E Gilbert St Bldg 31, San Bernardino, CA 92415-0911 2018-09-26
1669802708 County of San Bernardino In Home Supportive Care 784 E Hospitality Ln, San Bernardino, CA 92415 2013-11-26
1912258633 County of San Bernardino Clinic/Center 17830 Arrow Blvd., Fontana, CA 92335 2012-09-20
1285870469 County of San Bernardino Public Health or Welfare 11336 Bartlett Ave #11, Adelanto, CA 92301 2008-12-18
1871764175 County of San Bernardino Early Intervention Provider Agency North & South Bound I-15, @ Zzz, Baker, CA 92309 2008-03-14

Office Location

Street Address 303 E VANDERBILT WAY
City SAN BERNARDINO
State CA
Zip Code 92415-0026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730158098 William Walter Henning Family Medicine 303 E Vanderbilt Way, San Bernardino, CA 92408-3526 2006-03-17
1477167732 Victoria Frances Hall Community Health Worker 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 2020-09-03
1659985927 Rachel Cierpich Community Health Worker 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 2020-09-03
1396359881 Jacqueline Duenez Community Health Worker 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 2020-09-02
1417561846 Lileana Lopez Community Health Worker 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 2020-09-02
1710459052 Diane Suzan Brantmeyer Registered Nurse 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 2018-12-27
1912429671 Janette Marie Herrera Counselor 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 2017-07-13
1699211987 Joanne Mitchell Case Manager/Care Coordinator 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 2017-01-11
1518416981 Carlos Escobar Licensed Psychiatric Technician 303 E Vanderbilt Way, San Bernardino, CA 92415-0026 2016-09-27
1154770808 Ngoc-minh Pham Psychiatry & Neurology 303 E Vanderbilt Way, San Bernardino, CA 92415-1801 2016-06-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578041042 Karina Judith Barragan Student in an Organized Health Care Education/Training Program 19500 South Sunwest Lane, San Bernardino, CA 92415 2018-08-06
1841714839 Layla Subhani Marriage & Family Therapist 780 E Gilbert Street, Bldg H, San Bernardino, CA 92415 2017-08-01
1023546637 Angelica Ruiz Marriage & Family Therapist 900 E. Gilbert Street, Cottage 4, San Bernardino, CA 92415 2017-05-25
1750825030 Jordyn Ackerman Marriage & Family Therapist 900 E Gilbert Street, Cottage 4, San Bernardino, CA 92415 2016-12-06
1083063663 San Bernardino County Department of Public Health Public Health or Welfare 1505 South D Street, San Bernardino, CA 92415 2016-06-06
1366821233 Jodi Cerney Counselor 1950 S. Sunwest Lane, Suite #200, San Bernardino, CA 92415 2015-05-26
1427442268 Yessenia Cruz Case Manager/Care Coordinator 780 E Gilbert St Bldg H, San Bernardino, CA 92415 2015-03-18
1861808859 Hector Armando Ortega Student in an Organized Health Care Education/Training Program 1950 S. Sunwest Ln., Rialto, CA 92415 2014-07-10
1437564762 Ashlee Barker Marriage & Family Therapist 900 E Gilbert St. Cottage 4, San Bernardino, CA 92415 2014-06-25
1669802708 County of San Bernardino In Home Supportive Care 784 E Hospitality Ln, San Bernardino, CA 92415 2013-11-26
Find all providers in zip 92415

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912418930 Telecare Corporation Clinic/Center 1481 North Windsor Drive, San Bernardino, CA 92404-5416 2017-10-17
1801270137 Sac Health System Clinic/Center 250 South G Street, San Bernardino, CA 92410 2015-07-16
1124100383 Telecare Corporation Clinic/Center 2080 S E St Ste 100, San Bernardino, CA 92408-2706 2006-10-19
1346850211 County of San Bernardino Clinic/Center 658 E Brier Dr, San Bernardino, CA 92408-2880 2020-08-05
1497310593 Telecare Corporation Clinic/Center 2080 S E St Ste 200, San Bernardino, CA 92408-2746 2019-05-03
1952865511 Telecare Corporation Clinic/Center 2080 S E St Ste 200, San Bernardino, CA 92408-2746 2019-01-29
1326444662 Telecare Corporation Clinic/Center 2080 S E St, Suite 200, San Bernardino, CA 92408-2773 2014-11-14
1427385558 County of San Bernardino Clinic/Center 2372 Sterling Ave, San Bernardino, CA 92404-4624 2009-11-10
1609101344 Core San Bernardino Clinic/Center 423 Mackay Dr, San Bernardino, CA 92408-3230 2009-10-14
1609046002 Telecare Corporation Clinic/Center 2080 S E St Ste 250, San Bernardino, CA 92408-2706 2008-03-03
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92415

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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