Provider Demographics
NPI:1831640903
Name:NURSES FOR SAFE ACCESS
Entity Type:Organization
Organization Name:NURSES FOR SAFE ACCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST-CONFORTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-336-4032
Mailing Address - Street 1:PO BOX 1221
Mailing Address - Street 2:
Mailing Address - City:BLUE JAY
Mailing Address - State:CA
Mailing Address - Zip Code:92317-1221
Mailing Address - Country:US
Mailing Address - Phone:909-336-4032
Mailing Address - Fax:
Practice Address - Street 1:27209 HIGHWAY 189
Practice Address - Street 2:
Practice Address - City:BLUE JAY
Practice Address - State:CA
Practice Address - Zip Code:92317-1221
Practice Address - Country:US
Practice Address - Phone:909-336-4032
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes EducatorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1265989727Medicaid
CA1265989727Medicare PIN
CA1265989727Medicare Oscar/Certification