Casa de Lago

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

CASA DE LAGO

Practice address

22590 Canyon Lake Dr S
Canyon Lake, CA 92587-7560

Phone

(310) 530-1151

NPI assigned

Jul 15, 2006

Last updated

Jun 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Cfo/ Sr VP

Phone

(610) 768-3300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1255357760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 CAMINO DEL SOL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055017",
            "telephone_number": "310-530-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22590 CANYON LAKE DR S",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925877560",
            "telephone_number": "310-530-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE LAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO/ SR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Brown
• Tiffany Renee Burgess
• California Medical Supply
• Canyon Consulting Group (A Mindful You)
• Canyon Lake Physical Therapy, Inc (Canyon Lake Physical Therapy)
• Chanel Chew Castillo
• Garrett Chase
• Dawn Chatigny, LAC
• Lorna Lyanthie Conyers, PHD
• Mary Lucinda Demoss, OD

• Psychiatric Hospital in Canyon Lake, CA
• Providers in Canyon Lake, CA by specialty
• Psychiatric Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.