NPIMap

Organization Active NPI

Anka Behavioral Health, Inc.

  • Psychiatric Residential Treatment Facility
  • Ventura, CA
National Provider Identifier
1063700656
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
D05511203 Issued in AZ
Legal business name
ANKA BEHAVIORAL HEALTH, INC.
Practice address
350 Hillmont Avenue
Ventura, CA 93003
Phone
(805) 233-7750
Fax
(805) 653-5974
NPI assigned
Jul 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Gina M Vyrostek
Title
Senior QM Manager
Phone
(925) 825-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X D05511203 AZ Primary

Addresses

Primary practice location

350 Hillmont Avenue
Ventura, CA 93003

Mailing address

1850 Gateway Blvd
Suite 900
Concord, CA 94520-8414
Phone (925) 825-4700

National Provider Directory

National Provider Directory
Tax ID family
Anka Behavioral Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1063700656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 GATEWAY BLVD",
            "address_2": "SUITE 900",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945208414",
            "telephone_number": "925-825-4700",
            "fax_number": "805-653-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HILLMONT AVENUE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "805-233-7750",
            "fax_number": "805-653-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANKA BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-16",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "VYROSTEK",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR QM MANAGER",
        "authorized_official_telephone_number": "925-825-4700"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "AZ",
            "license": "D05511203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.