CHILDREN'S BUREAU OF SOUTHERN CALIFORNIA (NPI# 1700912557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700912557 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S BUREAU OF SOUTHERN CALIFORNIA |
| Other Organization Name | CHILDRENS BUREAU OF SOUTHERN CALIFORNIA - SAN GABRIEL |
| Practice Address |
1515 W Cameron Ave Ste 350 West Covina CA 91790-2726 |
| Practice Telephone | 6263378811 |
| Practice Fax Number | 6268565653 |
| Mailing Telephone | 6263378811 |
| Mailing Fax Number | 6268565653 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | MR. RON BROWN (CEO/PRESIDENT) |
| Authorized Official Telephone | 2133420100 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DMH REPORTING UNIT | 7302A | 01 |
| CA | 00007302 | 05 | |
| CA | DMH LEGAL ENITITY NUMBER | 00668 | 01 |
| Other Name | Type Code |
|---|---|
| Childrens Bureau of Southern California - San Gabriel | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134427313 | Children's Bureau of Southern California | Case Management | 921 W Avenue J Ste C, Lancaster, CA 93534-3443 | 2011-03-11 |
| 1174659957 | Children's Bureau of Southern California | Community/Behavioral Health | 3910 Oakwood Ave, Los Angeles, CA 90004-3413 | 2007-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILDREN'S BUREAU OF SOUTHERN CALIFORNIA | 1910 Magnolia Ave, Los Angeles, CA 90007-1220 |
| Street Address |
1515 W CAMERON AVE STE 350 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992352496 | Vicenta Agnes Lopez Mateo | Counselor | 1515 W Cameron Ave Ste 350, West Covina, CA 91790-2726 | 2019-08-20 |
| 1841757309 | Karla Pizano | Counselor | 1515 W Cameron Ave Ste 350, West Covina, CA 91790-2726 | 2019-02-20 |
| 1457691008 | Alejandra V Vachon | Counselor | 1515 W Cameron Ave Ste 350, West Covina, CA 91790-2726 | 2013-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942823471 | The Right Time Recovery Center | Community/Behavioral Health | 2808 E Cortez St, West Covina, CA 91791-2940 | 2020-05-19 |
| 1679104806 | Institute for Multicultural Counseling and Education Services, Inc | Community/Behavioral Health | 1730 W Cameron Ave Ste 200, West Covina, CA 91790-2722 | 2020-01-27 |
| 1023504917 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 645 S Inman Rd, West Covina, CA 91791-2919 | 2018-07-03 |
| 1386045979 | Baldwin Park Counseling | Community/Behavioral Health | 1710 W Cameron Ave Ste 202, West Covina, CA 91790-2720 | 2014-09-15 |
| 1518395664 | Katie Cook | Community/Behavioral Health | 1301 Hollencrest Dr, West Covina, CA 91791-3712 | 2013-10-29 |
| 1457534760 | New Hope Center Inc | Community/Behavioral Health | 606 N Azusa Ave, West Covina, CA 91791-1147 | 2007-12-10 |
| 1952590101 | Pacific Clinics | Community/Behavioral Health | 1500 E Francisquito Ave, West Covina, CA 91791-3823 | 2007-10-23 |
| 1679683973 | Pacific Clinics | Community/Behavioral Health | 1517 W Garvey Ave N, West Covina, CA 91790-2138 | 2006-08-30 |
| 1144684721 | Enki Health Service, Inc. | Community/Behavioral Health | 1215 W West Covina Pkwy, West Covina, CA 91790-2946 | 2016-04-08 |
| 1790813780 | Pacific Clinics | Community/Behavioral Health | 2226 E Rio Verde Dr, West Covina, CA 91791-2067 | 2007-03-01 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
Please comment or provide details below to improve the information on CHILDREN'S BUREAU OF SOUTHERN CALIFORNIA.
| 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.