NPIMap

Organization Active NPI

Penny Lane

  • Community/Behavioral Health Agency
  • Littlerock, CA
National Provider Identifier
1093010084
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PENNY LANE
Practice address
37151 101St St E
Littlerock, CA 93543-2032
Phone
(661) 944-0594
NPI assigned
Jan 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Authorized official

Name
Mr. Roberto Garcia
Title
Rahabilitation Specialist
Phone
(661) 944-0594

Specialties & licenses 1

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

Addresses

Primary practice location

37151 101St St E
Littlerock, CA 93543-2032

Mailing address

37151 101St St E
Littlerock, CA 93543-2032
Phone (661) 944-0594

National Provider Directory

National Provider Directory
Tax ID family
Pennylane25 organizations share this tax ID, including this one

Other organizations with this tax ID 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1093010084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37151 101ST ST E",
            "city": "LITTLEROCK",
            "state": "CA",
            "postal_code": "935432032",
            "telephone_number": "661-944-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37151 101ST ST E",
            "city": "LITTLEROCK",
            "state": "CA",
            "postal_code": "935432032",
            "telephone_number": "661-944-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNY LANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "RAHABILITATION SPECIALIST",
        "authorized_official_telephone_number": "661-944-0594",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littlerock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.