Gold Coast Youth Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GOLD COAST YOUTH SERVICES, INC.

Practice address

3230 E. Imperial Hwy
Ste. 315
Brea, CA 92821

Phone

(714) 524-3799

Fax

(714) 528-3416

NPI assigned

Nov 5, 2013

Last updated

Nov 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mardi Harvey

Title

C.O.O.

Phone

(714) 524-3799

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Rogers

  • Clinical Social Worker
  • Brea, CA
  • NPI 1083044945
  NPD (past)

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1184053688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2067",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92837",
            "telephone_number": "714-524-3799",
            "fax_number": "714-528-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 E. IMPERIAL HWY",
            "address_2": "STE. 315",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-524-3799",
            "fax_number": "714-528-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "MARDI",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "714-524-3799"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami L Gilman
• Cristian Angelo Ginez
• Brian Giuffre
• Karey Ann Glaviano, NMT
• Jessica Godines, LCSW
• Matthew Gomer
• Jacob John Gomez, DME
• Desiree Monique Gonzales
• Gillian Marie Gonzales, SPA 3701
• Hailie Jade Gonzalez Hernandez, BII, HS DIPLOMA

• Community/Behavioral Health Agency in Brea, CA
• Providers in Brea, 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 Nov 5, 2013; 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.