California Mentor

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

07000048 Issued in CA

Legal business name

CALIFORNIA MENTOR

Practice address

824 18TH St
Bakersfield, CA 93301-4824

Phone

(661) 322-4085

NPI assigned

May 11, 2016

Organization subpart

Yes

Parent organization

NATIONAL MENTOR, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Heather Diaz

Title

Project Director

Phone

(909) 948-7385

Specialties & licenses 1

Addresses

Other names 1

• National Mentor Healthcare, LLC Doing business as

Locations

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1235585944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9166 ANAHEIM PL",
            "address_2": "SUITE 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917308541",
            "telephone_number": "909-483-2505",
            "fax_number": "909-483-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 18TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014824",
            "telephone_number": "661-322-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA MENTOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR, LLC",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "909-948-7385",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "07000048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Mentor Healthcare, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Developmentally Disabled Services Day Training Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.