Organization Active NPI

The Pajo Corp

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Century City, CA
National Provider Identifier
1245389725
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
19.135 Issued in CA
Legal business name
THE PAJO CORP
Practice address
2080 Century Park E
Suite 1210
Century City, CA 90067-2001
Phone
(310) 553-9500
Fax
(310) 553-7247
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Carolyn Perry, PHYSICIAN ASSISTANT
Title
Executive Director
Phone
(310) 553-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 19.135 CA Primary

Addresses

Primary practice location

2080 Century Park E
Suite 1210
Century City, CA 90067-2001

Mailing address

2080 Century Park E
Suite 1210
Century City, CA 90067-2001
Phone (310) 553-9500

Other identifiers 1

IdentifierTypeStateIssuer
HDC70049FMedicaidCA

Other names 1

  • Tri City Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Pajo Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1245389725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1210",
            "city": "CENTURY CITY",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-9500",
            "fax_number": "310-553-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1210",
            "city": "CENTURY CITY",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-9500",
            "fax_number": "310-553-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAJO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-553-9500",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "19.135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HDC70049F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri City Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Century City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.