NPIMap

Organization Active NPI

South Coast Children'S Society, Inc.

  • Community/Behavioral Health Agency
  • Colton, CA
National Provider Identifier
1215204201
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH COAST CHILDREN'S SOCIETY, INC.
Doing business as
SOUTH COAST COMMUNITY SERVICES
Practice address
1461 E Cooley Dr
Suite 100
Colton, CA 92324-3921
Phone
(909) 809-7337
NPI assigned
Nov 19, 2011
Organization subpart
Yes
Parent organization
SOUTH COAST CHILDREN'S SOCIETYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Mrs. Kathleen Darling
Title
Coo
Phone
(909) 838-4274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1461 E Cooley Dr
Suite 100
Colton, CA 92324-3921

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Phone (909) 980-7000

Other identifiers 1

IdentifierTypeStateIssuer
36EREWMedicaidCA

Other names 1

  • SOUTH COAST COMMUNITY SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Coast Traverse23 organizations share this tax ID, including this one
Part of
South Coast Traverse

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1215204201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 160",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912777",
            "telephone_number": "909-980-7000",
            "fax_number": "909-547-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 E COOLEY DR",
            "address_2": "SUITE 100",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243921",
            "telephone_number": "909-809-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST CHILDREN'S SOCIETY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH COAST CHILDREN'S SOCIETY",
        "enumeration_date": "2011-11-19",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "DARLING",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "909-838-4274",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36EREW",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH COAST COMMUNITY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH COAST COMMUNITY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.