BEHAVIORAL HEALTH SERVICES INC. (NPI# 1023536992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023536992 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL HEALTH SERVICES INC. |
| Other Organization Name | BHS - EL PUERTO FAMILY HEALTH CENTER |
| Practice Address |
1334 N Avalon Blvd Wilmington CA 90744-2639 |
| Mailing Address |
15519 Crenshaw Blvd Gardena CA 90249-4525 |
| Practice Telephone | 3108354009 |
| Practice Fax Number | 3106792920 |
| Mailing Telephone | 3106799126 |
| Mailing Fax Number | 3106792920 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | MS. SHIRLEY ANN SUMMERS (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3106799126 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
550003493 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| BHS - El Puerto Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932230505 | Behavioral Health Services Inc. | Community/Behavioral Health | 2180 West Valley Blvd, Pomona, CA 91768-3325 | 2007-03-08 |
| 1891825667 | Behavioral Health Services Inc. | Community/Behavioral Health | 1318 N Avalon Blvd, Suite 1318a & 1314b, Wilmington, CA 90744-2639 | 2007-03-07 |
| 1578079919 | Behavioral Health Services Inc. | Clinic/Center | 2015 W 1st St Ste L, Santa Ana, CA 92703-3516 | 2017-12-21 |
| 1548659105 | Behavioral Health Services Inc. | Clinic/Center | 2501 W El Segundo Blvd, Suite B, Hawthorne, CA 90250-3317 | 2015-01-20 |
| 1134259088 | Behavioral Health Services Inc. | Substance Abuse Rehabilitation Facility | 1775 Chestnut Ave, Long Beach, CA 90813-1674 | 2007-03-07 |
| 1245360130 | Behavioral Health Services Inc. | Substance Abuse Rehabilitation Facility | 2501 W El Segundo Blvd, Hawthorne, CA 90250-3317 | 2007-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BEHAVIORAL HEALTH SERVICES INC | 15519 Crenshaw Blvd, Gardena, CA 90249-4525 |
| North Carolina Corporations | BEHAVIORAL HEALTH SERVICES INC | 3100 Memorial Dr, Greenville, NC 27834 |
| Street Address |
1334 N AVALON BLVD |
| City | WILMINGTON |
| State | CA |
| Zip Code | 90744-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829441 | Kathleen Calderon | Technician | 1022 W. Robidoux St., Wilmington, CA 90744 | 2019-09-05 |
| 1083275838 | Jorge A Navarrete | Licensed Vocational Nurse | 117 E W Harry Bridges Blvd, Wilmington, CA 90744 | 2019-06-24 |
| 1457875528 | Sergio Manzo | Interpreter | 1131 Cary Ave, Wilmington, CA 90744 | 2017-08-01 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1982074662 | Tomoko Araki | Acupuncturist | 640 Broad Avenue, Wilmington, CA 90744 | 2015-10-07 |
| 1003202516 | West Pacific Pharmacy Inc | Pharmacy | 505 West Pacific Coast Hwy, Wilmington, CA 90744 | 2015-04-10 |
| 1053733543 | Sally Ammar | Physician Assistant | 714 Avalon Blvd, Wilmington, CA 90744 | 2014-01-17 |
| 1548432487 | Julia Chase Vander Ploeg | Chiropractor | 123 E. F Street, Wilmingtnon, CA 90744 | 2008-04-01 |
| 1679775829 | Elvis Baquero | Dentist | 1455 N Avalon Blvd, Wilmington, CA 90744 | 2007-06-01 |
| 1740495233 | Dr Leonardo Chacon, M.d. Inc | Point of Service | 1721 Wilmington Blvd, Wilmington, CA 90744 | 2007-05-10 |
| Find all providers in zip 90744 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1801154463 | Total Care Medical Clinic Inc | Clinic/Center | 1110 W Anaheim St, Suite 6, Wilmington, CA 90744-4131 | 2012-05-01 |
| 1386171767 | Reflections of Hope, L.l.p. | Clinic/Center | 33 Darlington Ave, Wilmington, NC 28403-1343 | 2017-05-17 |
| 1750694170 | Coastal Nutrition, LLC | Clinic/Center | 1612 Doctors Cir, Wilmington, NC 28401-7406 | 2010-07-15 |
| 1093843385 | New Hanover County | Clinic/Center | 2029 S 17th St, Wilmington, NC 28401-6600 | 2007-03-01 |
| 1235286667 | Nationwide Medical Group, Inc | Clinic/Center | 1322 N Avalon Blvd, Wilmington, CA 90744-2639 | 2007-01-05 |
| 1093814907 | Wilmington Community Clinic | Clinic/Center | 1009 N Avalon Blvd, Wilmington, CA 90744-4505 | 2006-09-21 |
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| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 90744 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.