Active NPI
La Mesa Health Services LLC
- Methadone Clinic
- La Mesa, CA
National Provider Identifier
1245621259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 1234
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.