HILLSIDES (NPI# 1508983776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508983776 |
| Entity Type | Organization |
| Organization Name | HILLSIDES |
| Other Organization Name | HILLSIDES FRC EP |
| Practice Address |
149 Pasadena Ave Ste A South Pasadena CA 91030-3351 |
| Practice Telephone | 3232743065 |
| Mailing Telephone | 3232743065 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | PHUONG MY LANE (HR GENERALIST) |
| Authorized Official Telephone | 3235432800 |
| Authorized Official Credential | BS |
| Is Organization Subpart | Y |
| Parent Organization Name | HILLSIDES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hillsides FRC EP | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1910 W Sunset Blvd, Ste. 650, Los Angeles, CA 900263281 | 2132015380 | 2133551249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285289801 | Hillsides | Clinic/Center | 1020 E Palmdale Blvd Ste 200a, Palmdale, CA 93550-4756 | 2019-08-09 |
| 1477023265 | Hillsides | Clinic/Center | 456 E. Orange Grove Blvd, Suite 140, Pasadena, CA 91104-5235 | 2018-12-05 |
| 1972047165 | Hillsides | Clinic/Center | 5400 E. Olympic Blvd Suite 100, Commerce, CA 90022-5190 | 2016-12-07 |
| 1700270188 | Hillsides | Community/Behavioral Health | 1902 Royalty Dr Ste 240&260, Pomona, CA 91767-3061 | 2015-03-24 |
| 1619217841 | Hillsides | Community/Behavioral Health | 815 Colorado Blvd, 3rd Floor, Los Angeles, CA 90041-1720 | 2013-02-25 |
| 1902920176 | Hillsides | Clinic/Center | 149 Pasadena Ave, South Pasadena, CA 91030-2947 | 2007-03-16 |
| 1083158810 | Hillsides | Clinic/Center | 50 E Foothill Blvd Ste 300, Arcadia, CA 91006-2314 | 2016-12-13 |
| 1639613821 | Hillsides | Community Based Residential Treatment Facility, Mental Illness | 940 Avenue 64, Pasadena, CA 91105-2711 | 2016-12-07 |
| 1700126687 | Hillsides | Clinic/Center | 13001 Ramona Blvd, Suite A., Irwindale, CA 91706-3752 | 2013-02-28 |
| 1750415162 | Hillsides | Community/Behavioral Health | 940 Avenue 64, Pasadena, CA 91105-2711 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HILLSIDES | 940 Avenue 64, Pasadena, CA 91105-2711 |
| Street Address |
149 PASADENA AVE STE A |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622453 | Valeria Bordes | Marriage & Family Therapist | 149 Pasadena Ave Ste A, South Pasadena, CA 91030-3351 | 2020-09-02 |
| 1922610807 | Alexandria Elizabeth Swanson | Student in an Organized Health Care Education/Training Program | 149 Pasadena Ave Ste A, South Pasadena, CA 91030-3351 | 2020-08-20 |
| 1336494251 | Monica Chui Hy | Marriage & Family Therapist | 149 Pasadena Ave Ste A, South Pasadena, CA 91030-3351 | 2012-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902920176 | Hillsides | Clinic/Center | 149 Pasadena Ave, South Pasadena, CA 91030-2947 | 2007-03-16 |
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| 1083231781 | Treehouse Child Therapy Professional Corporation | Clinic/Center | 514 N California Ave Ste 13, Beaumont, CA 92223-2120 | 2020-06-29 |
| 1083230262 | Socal Adolescent Wellness, Inc. | Clinic/Center | 23072 Lake Center Dr Ste 214, Lake Forest, CA 92630-2899 | 2020-06-23 |
| 1447876123 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 454 E Cerritos St, Rialto, CA 92376-3658 | 2020-06-18 |
| 1669098505 | Rowi Valencia, Inc. | Clinic/Center | 27413 Tourney Rd Ste 150, Valencia, CA 91355-5604 | 2020-06-16 |
| 1386267870 | Bni Treatment Centers | Clinic/Center | 2563 Stokes Canyon Rd, Calabasas, CA 91302-2991 | 2020-05-19 |
| 1538781042 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. | Clinic/Center | 3872 Carthage St, Riverside, CA 92501-2102 | 2020-05-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
Please comment or provide details below to improve the information on HILLSIDES.
| 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.