NPI Code Detail JSON Logo

1568352912 NPI number — ANGEL OF FAITH NON PROFIT

NPI Number: 1568352912
Health Care Provider/Practitioner: ANGEL OF FAITH NON PROFIT

Information about “1568352912” NPI (ANGEL OF FAITH NON PROFIT) exists in 1568352912 in HTML format HTML  |  1568352912 in plain Text format TXT  |  1568352912 in PDF (Portable Document Format) PDF  |  1568352912 in an XML format XML  formats.

NPI Number : 1568352912 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568352912",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ANGEL OF FAITH NON PROFIT",
    "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": "14897 ROUNDWOOD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EASTVALE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92880-3966",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-345-3895",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4996 LA SIERRA AVE # 2612",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIVERSIDE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92505-2612",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-525-3752",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/08/2025",
    "LastUpdateDate": "07/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CRUZ",
    "AuthorizedOfficialFirstName": "LUIS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT/EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "951-500-2774",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM0801X",
        "TaxonomyName": "Mental Health Clinic/Center (Including Community Mental Health Center)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.