FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY (NPI# 1750408241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750408241 |
| Entity Type | Organization |
| Organization Name | FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY |
| Other Organization Name | FIVE ACRES |
| Practice Address |
2934 E Garvey Ave S Ste 100a and 102 West Covina CA 91791-2190 |
| Mailing Address |
760 Mountain View St Altadena CA 91001-4925 |
| Practice Telephone | 6267986793 |
| Practice Fax Number | 6262140303 |
| Mailing Telephone | 6267986793 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | SHAULON SHANKLIN (DIRECTOR OF CLAIMS OPERATIONS) |
| Authorized Official Telephone | 6267986793 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Five Acres | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972053726 | Five Acres- The Boys' and Girls' Aid Society of Los Angeles County | Community/Behavioral Health | 1236 Solita Rd, Pasadena, CA 91103-2452 | 2016-10-05 |
| 1427442557 | Five Acres- The Boys' and Girls' Aid Society of Los Angeles County | Local Education Agency (LEA) | 7356 Painter Ave, 102, Whittier, CA 90602-1853 | 2015-03-26 |
| 1114051240 | Five Acres- The Boys' and Girls' Aid Society of Los Angeles County | Case Management | 760 West Mountain View Street, Altadena, CA 91001 | 2007-03-14 |
| 1518446624 | Five Acres- The Boys' and Girls' Aid Society of Los Angeles County | Local Education Agency (LEA) | 760 Mountain View St, Altadena, CA 91001-4925 | 2018-08-09 |
| 1720105224 | Five Acres- The Boys' and Girls' Aid Society of Los Angeles County | Case Management | 867 N Fair Oaks Ave, Pasadena, CA 91103-3083 | 2007-03-22 |
| Street Address |
2934 E GARVEY AVE S STE 100A AND 102 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91791-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386285013 | Wilson Alberto Castro | Rehabilitation Practitioner | 2934 E Garvey Ave S, West Covina, CA 91791-2190 | 2019-10-03 |
| 1679074843 | Maria Gurrola-cabrera | Marriage & Family Therapist | 2934 E Garvey Ave S, West Covina, CA 91791-2190 | 2018-02-23 |
| 1316313828 | Diane Phoolserm Amaro | Social Worker | 2934 E Garvey Ave S, West Covina, CA 91791-2190 | 2015-08-19 |
| 1609284348 | Matthew Yaggie | Behavioral Analyst | 2934 E Garvey Ave S, Suite 202, West Covina, CA 91791-2190 | 2014-07-25 |
| 1881018059 | Sade Jacqueline Tate | Behavioral Analyst | 2934 E Garvey Ave S, Suite 202, West Covina, CA 91791-2190 | 2014-02-09 |
| 1831530476 | Nathan Plummer Eisenberg | Behavioral Analyst | 2934 E Garvey Ave S, Suite 202, West Covina, CA 91791-2190 | 2013-07-11 |
| 1104199066 | Abigail Ferree | Behavioral Analyst | 2934 E Garvey Ave S, Suite 202, West Covina, CA 91791-2190 | 2012-02-22 |
| 1093004913 | Elizabeth Mendez | Social Worker | 2934 E Garvey Ave S, West Covina, CA 91791-2190 | 2011-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938896 | Oriental Holistic Acupuncture Healthe Center Inc | Acupuncturist | 1414 S. Azusa Ave., Ste B-5, West Covina, CA 91791 | 2018-07-09 |
| 1780110312 | Yenmien Chen | Pharmacist | 5944 N Figueroa Ave, Los Angeles, CA 91791 | 2017-05-02 |
| 1568861227 | Gashparova Dental Practice Inc. | Dentist | 628 N. Azusa Ave., West Covina, CA 91791 | 2014-08-19 |
| 1740607837 | Melinda Rodriguez-mendoza | Nurse Practitioner | 1444 E Mcwood St, West Covina, CA 91791 | 2014-03-26 |
| 1710245782 | Mark Chevy S Ledesma | Dentist | 319 N Azusa Ave., W Covina, CA 91791 | 2012-04-27 |
| 1508184920 | Elba Cecilia Olivares | Chiropractor | 743 S. Hillward Ave, West Covina, CA 91791 | 2010-05-10 |
| 1861668832 | Susette C Thompson | Case Manager/Care Coordinator | 1829 Eworkman Ave #1, West Covina, CA 91791 | 2008-04-30 |
| 1376729483 | Accentcare Home Health of California, Inc. | Home Health | 2934 E Garvey Ave S Ste 210, West Covina, CA 91791 | 2008-01-18 |
| 1629195870 | Jung Jung Liu | Dentist | 628 North Azusa Ave, West Covina, CA 91791 | 2007-03-23 |
| 1548302748 | Mark Chevy S Ledesma Dds Inc | Dentist | 319 N Azusa Ave, W Covina, CA 91791 | 2007-02-13 |
| Find all providers in zip 91791 | ||||
| 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 |
| 1700912557 | Children's Bureau of Southern California | Community/Behavioral Health | 1515 W Cameron Ave Ste 350, West Covina, CA 91790-2726 | 2007-02-26 |
| 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 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91791 |
Please comment or provide details below to improve the information on FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY.
| 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.