California Community Mental & Behavioral Health LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

CALIFORNIA COMMUNITY MENTAL & BEHAVIORAL HEALTH LLC

Doing business as

Illumination Mental Health

Practice address

17795 Rinaldi St
Granada Hills, CA 91344-3324

Phone

(818) 384-5139

NPI assigned

Dec 15, 2021

Organization subpart

No

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

Authorized official

Name

Bedros Assadorian

Title

Ceo

Phone

(818) 384-5139

Specialties & licenses 1

Addresses

Other names 1

• Illumination Mental Health Doing business as

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1164181376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17795 RINALDI ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17795 RINALDI ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913443324",
            "telephone_number": "818-384-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA COMMUNITY MENTAL & BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-15",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "ASSADORIAN",
        "authorized_official_first_name": "BEDROS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-384-5139"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illumination Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric Residential Treatment Facility in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Psychiatric Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.