OrganizationActive
Community Access Network Non Profit Corporation
NPI 1619029030 · Community/Behavioral Health Agency · Corona, CA
Provider details
- NPI number
- 1619029030
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Rafik Philobos, Executive Director(951) 279-3222
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2275 S Main St Ste 201, 101b,103 & 105
Corona, CA 92882-5303
Phone: (951) 279-3222
Fax: (951) 279-8333
Street-level locationGet directions
Mailing address
2275 South Main Street
Corona, CA 92882
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.