NPIMap

Organization Active NPI

Community Service Organization Behavioral Health Programs

Doing business as De Colores Center

  • Community/Behavioral Health Agency
  • Lamont, CA
National Provider Identifier
1053524405
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY SERVICE ORGANIZATION BEHAVIORAL HEALTH PROGRAMS
Doing business as
De Colores Center
Practice address
10420 Main St
Lamont, CA 93241-1727
Phone
(661) 845-3753
Fax
(661) 845-4866
NPI assigned
May 8, 2007
Last updated
Oct 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dwayne Anthony Gotay Sr., E.D.
Title
Executive Director
Phone
(661) 845-3753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

10420 Main St
Lamont, CA 93241-1727

Mailing address

PO Box 3067
Bakersfield, CA 93385
Phone (661) 845-3753

Other names 1

  • De Colores Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brotherhood Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1053524405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93385",
            "telephone_number": "661-845-3753",
            "fax_number": "661-845-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10420 MAIN ST",
            "city": "LAMONT",
            "state": "CA",
            "postal_code": "932411727",
            "telephone_number": "661-845-3753",
            "fax_number": "661-845-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICE ORGANIZATION BEHAVIORAL HEALTH PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "GOTAY",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "661-845-3753",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "E.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "De Colores Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lamont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.