Organization Active NPI

Health Care Integrated School Based Services

  • Clinic/Center
  • Compton, CA
National Provider Identifier
1093108185
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEALTH CARE INTEGRATED SCHOOL BASED SERVICES
Practice address
2600 N Central Ave
Compton, CA 90222-1640
Phone
(888) 417-5163
Fax
(888) 316-1604
NPI assigned
Mar 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Dwayne Thompson
Title
Business Administrator
Phone
(888) 417-5163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2600 N Central Ave
Compton, CA 90222-1640

Mailing address

PO Box 92619
Long Beach, CA 90809-2619
Phone (888) 417-5163

National Provider Directory

National Provider Directory

Locations

2600 N Central Ave
Compton, CA 90222
Phone (562) 230-0960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1093108185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92619",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908092619",
            "telephone_number": "888-417-5163",
            "fax_number": "888-316-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N CENTRAL AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902221640",
            "telephone_number": "888-417-5163",
            "fax_number": "888-316-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE INTEGRATED SCHOOL BASED SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "888-417-5163"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.