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1497634976 NPI number — FORMERLY INCARCERATED STRIVING AND THRIVING AND THE STRIVE THRIVE AND RISE GENERATION

NPI Number: 1497634976
Health Care Provider/Practitioner: FORMERLY INCARCERATED STRIVING AND THRIVING AND THE STRIVE THRIVE AND RISE GENERATION

Information about “1497634976” NPI (FORMERLY INCARCERATED STRIVING AND THRIVING AND THE STRIVE THRIVE AND RISE GENERATION) exists in 1497634976 in HTML format HTML  |  1497634976 in plain Text format TXT  |  1497634976 in PDF (Portable Document Format) PDF  |  1497634976 in an XML format XML  formats.

NPI Number : 1497634976 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497634976",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "FORMERLY INCARCERATED STRIVING AND THRIVING AND THE STRIVE THRIVE AND RISE GENERATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "212 SARATOGA CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GOLETA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93117-2405",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-319-9159",
    "MailingAddressFaxNumber": "805-259-4090",
    "FirstLinePracticeLocationAddress": "618 W CHAPEL ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA MARIA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93458-4312",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-319-9159",
    "PracticeLocationAddressFaxNumber": "805-259-4090",
    "EnumerationDate": "08/29/2025",
    "LastUpdateDate": "08/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OCHOA",
    "AuthorizedOfficialFirstName": "GABRIEL",
    "AuthorizedOfficialMiddleName": "ANTHONY",
    "AuthorizedOfficialTitle": "CHAIRPERSON",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "805-319-9159",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251K00000X",
          "TaxonomyName": "Public Health or Welfare Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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