Pavilion Healthcare Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PAVILION HEALTHCARE SERVICES INC

Practice address

17420 Avalon Blvd
Ste 206
Carson, CA 90746-1564

Phone

(310) 753-1201

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

Gabriel C Ejizu

Title

President

Phone

(310) 753-1201

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1245580182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17420 AVALON BLVD",
            "address_2": "STE 206",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "90746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17420 AVALON BLVD",
            "address_2": "STE 206",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461564",
            "telephone_number": "310-753-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "EJIZU",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-753-1201"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Anderson Licensed Marriage and Family Therapist Inc
• Elvira Feraer Papilla
• Vaida Paredes
• Keith Park
• Jyotsnaben Patel, MFT LICENSED
• Pavillion Healthcare Services
• Pamela Paynther
• Aitana Noelle Pecero
• Krista Lauren Pehlic, NBC-HWC
• Thrissia L Pena-Robles, 171400000X 174H0000X

• Home Health Agency in Carson, CA
• Providers in Carson, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.