Organization Active NPI

Zinnia ABA LLC

  • Adult Day Care Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1104598374
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
ZINNIA ABA LLC
Practice address
3822 Campus Dr Ste 500
Newport Beach, CA 92660-2674
Phone
(877) 262-7803
NPI assigned
Oct 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Gilbert Yates
Title
Contract Manager
Phone
(877) 262-7803

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Developmental - Behavioral Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0006X
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0008X
Community/Behavioral Health Agency 251S00000X
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

3822 Campus Dr Ste 500
Newport Beach, CA 92660-2674

Mailing address

3822 Campus Dr Ste 500
Newport Beach, CA 92660-2674
Phone (877) 262-7803

Other practice location 1

3 Corbett Way
Eatontown, NJ 07724-2283
Phone (877) 262-7803

Other practice location 2

295 Interlocken Blvd Ste 400
Broomfield, CO 80021-8105
Phone (877) 262-7803

National Provider Directory

National Provider Directory
Tax ID family
Zinnia ABA LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1104598374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 CAMPUS DR STE 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602674",
            "telephone_number": "877-262-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 CAMPUS DR STE 500",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602674",
            "telephone_number": "877-262-7803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Corbett Way",
            "address_purpose": "LOCATION",
            "city": "Eatontown",
            "state": "NJ",
            "postal_code": "077242283",
            "country_code": "US",
            "telephone_number": "877-262-7803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "295 Interlocken Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800218105",
            "country_code": "US",
            "telephone_number": "877-262-7803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZINNIA ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "877-262-7803"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.