NPIMap

Organization Active NPI

Blvd Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Corona, CA
National Provider Identifier
1083136188
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BLVD CENTERS, INC.
Practice address
518 Queensland Cir
Corona, CA 92879-1381
Phone
(424) 372-1123
NPI assigned
Jul 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Mr. Jason Monroe
Title
Coo
Phone
(602) 550-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

518 Queensland Cir
Corona, CA 92879-1381

Mailing address

PO Box 512030
Los Angeles, CA 90051-0030

National Provider Directory

National Provider Directory
Tax ID family
Blvd Centers Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

518 Queensland Cir
Corona, CA 92879
Phone (424) 372-1123

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1083136188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512030",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 QUEENSLAND CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791381",
            "telephone_number": "424-372-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLVD CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-10",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-550-2211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.