Organization Active NPI

La Mesa Health Services LLC

  • Methadone Clinic
  • La Mesa, CA
National Provider Identifier
1245621259
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
1234 Issued in CA
Legal business name
LA MESA HEALTH SERVICES LLC
Practice address
7520 El Cajon Blvd
La Mesa, CA 91942-7803
Phone
(661) 254-6630
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Stan Sharma, PHD
Title
C E O
Phone
(166) 125-4660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 1234 CA Primary

Addresses

Primary practice location

7520 El Cajon Blvd
La Mesa, CA 91942-7803

Mailing address

26460 Summit Cir
Santa Clarita, CA 91350-2991
Phone (661) 254-6630

National Provider Directory

National Provider Directory

Locations

7520 El Cajon Blvd
La Mesa, CA 91942

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1245621259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 SUMMIT CIR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502991",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 EL CAJON BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427803",
            "telephone_number": "661-254-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA MESA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "C E O",
        "authorized_official_telephone_number": "166-125-4660",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.