Queer Healing Oasis

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

QUEER HEALING OASIS

Practice address

110 N Maclay Ave Ste 107
San Fernando, CA 91340-2986

Phone

(818) 233-1079

Fax

(818) 698-6407

NPI assigned

Sep 19, 2019

Organization subpart

No

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

Authorized official

Name

Marcos Zamora-Sanchez, LCSWNPI 1831487834

Title

Ceo/Founder

Phone

(818) 233-1079

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Marcos Zamora-Sanchez, MSW

  • Social Worker
  • Rosemead, CA
  • NPI 1831487834
  NPD Authorized official

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1104476266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N MACLAY AVE STE 107",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402986",
            "telephone_number": "818-233-1079",
            "fax_number": "818-698-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N MACLAY AVE STE 107",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402986",
            "telephone_number": "818-233-1079",
            "fax_number": "818-698-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEER HEALING OASIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "ZAMORA-SANCHEZ",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "818-233-1079",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831487834",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.queerhealingoasis.com",
            "affiliation": "N",
            "address_1": "110 N Maclay Ave Ste 107",
            "city": "San Fernando",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913402986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.