NPIMap

Organization Active NPI

Dual Diagnosis Assesment and Treatment Center Inc

  • Clinic/Center
  • Northridge, CA
National Provider Identifier
1093701534
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
55000015 Issued in CA
Legal business name
DUAL DIAGNOSIS ASSESMENT AND TREATMENT CENTER INC
Practice address
19300 Rinaldi St
Northridge, CA 91326-1651
Phone
(310) 628-9512
Fax
(818) 831-3416
NPI assigned
Sep 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Ms. Edna Elizabeth Miller
Title
President
Phone
(818) 804-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 55000015 CA Primary

Addresses

Primary practice location

19300 Rinaldi St
Northridge, CA 91326-1651

Mailing address

19300 Rinaldi Street
Northridge, CA 91327-9998
Phone (818) 804-4043

Other identifiers 1

IdentifierTypeStateIssuer
CMM71075FOtherCAMEDI-CAL

Other names 1

  • Health Care Dual Diagnosis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dual Diagnosis Assessment and Treatment Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

19300 Rinaldi St
Porter Ranch, CA 91326
Phone (562) 343-5800

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1093701534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19300 RINALDI STREET",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913279998",
            "telephone_number": "818-804-4043",
            "fax_number": "818-804-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19300 RINALDI ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261651",
            "telephone_number": "310-628-9512",
            "fax_number": "818-831-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUAL DIAGNOSIS ASSESMENT AND TREATMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-804-4043",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "55000015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "CMM71075F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Dual Diagnosis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.