Organization Active NPI

Premenstrual Syndrome Treatment Center

  • Specialist
  • Arcadia, CA
National Provider Identifier
1215079041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PREMENSTRUAL SYNDROME TREATMENT CENTER
Practice address
150 N Santa Anita Ave
#755
Arcadia, CA 91006-3113
Phone
(626) 447-0679
Fax
(626) 447-8749
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Helen Anderson, B. A.
Title
Pres
Phone
(626) 447-0679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X CA Primary

Addresses

Primary practice location

150 N Santa Anita Ave
#755
Arcadia, CA 91006-3113

Mailing address

150 N Santa Anita Ave
#755
Arcadia, CA 91006-3113
Phone (626) 447-0679

Other names 1

  • Premenstrual Syndrome Treatment Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

150 N Santa Anita Ave
Ste 755
Arcadia, CA 91006
Phone (626) 447-0679

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215079041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE",
            "address_2": "#755",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063113",
            "telephone_number": "626-447-0679",
            "fax_number": "626-447-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE",
            "address_2": "#755",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063113",
            "telephone_number": "626-447-0679",
            "fax_number": "626-447-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMENSTRUAL SYNDROME TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "626-447-0679",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B. A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premenstrual Syndrome Treatment Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.