NPIMap

Organization Active NPI

El Centro de Amistad

  • Mental Illness Community Based Residential Treatment Facility
  • Canoga Park, CA
National Provider Identifier
1164814349
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
IMF76860 Issued in CA
Legal business name
EL CENTRO DE AMISTAD
Practice address
7038 Owensmouth Ave
Canoga Park, CA 91303-3198
Phone
(818) 347-8565
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Marisol Edith Nunez, M.S.
Title
Mental Health Clinician
Phone
(818) 726-1271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X IMF76860 CA Primary

Addresses

Primary practice location

7038 Owensmouth Ave
Canoga Park, CA 91303-3198

Mailing address

12817 Burbank Blvd.
6
Valley Village, CA 91607
Phone (818) 726-1271

National Provider Directory

National Provider Directory
Tax ID family
El Centro de Amistad Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

7038 Owensmouth Ave
Canoga Park, CA 91303
Phone (818) 347-8565

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1164814349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12817 BURBANK BLVD.",
            "address_2": "6",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "91607",
            "telephone_number": "818-726-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7038 OWENSMOUTH AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033198",
            "telephone_number": "818-347-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL CENTRO DE AMISTAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "818-726-1271",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "IMF76860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.