OrganizationActive
Water of Life Community Outreach
NPI 1619195740 · Community/Behavioral Health Agency · Fontana, CA
Water of Life Community Outreach is a Community/Behavioral Health Agency organization in Fontana, CA (NPI 1619195740).
Provider details
- NPI number
- 1619195740
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Angela Coaston, Administrator(909) 463-0103
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(89/100 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
7623 East Ave
Fontana, CA 92336-2901
Phone: (909) 463-0103
Fax: (909) 463-4840
Street-level locationGet directions
Mailing address
7623 East Ave
Fontana, CA 92336-2901
Other names (DBA / former)
- Doing business as
- Well of Healing Mobile Medical Clinic
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2022-07-21
Frequently asked questions
- What is Water of Life Community Outreach's NPI number?
- Water of Life Community Outreach's National Provider Identifier (NPI) is 1619195740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Water of Life Community Outreach?
- Water of Life Community Outreach is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Water of Life Community Outreach located?
- Water of Life Community Outreach's practice location on file with NPPES is 7623 East Ave, Fontana, CA 92336-2901.
- What is Water of Life Community Outreach's phone number?
- The practice phone number listed in the NPPES registry for Water of Life Community Outreach is (909) 463-0103.
- Who is the authorized official for Water of Life Community Outreach?
- The authorized official listed on Water of Life Community Outreach's NPPES record is Angela Coaston, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Water of Life Community Outreach's NPI active?
- Yes — Water of Life Community Outreach's NPI (1619195740) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.