Active NPI
Grandview Foundation, Inc.
- Substance Abuse Rehabilitation Facility
- Pasadena, CA
National Provider Identifier
1295038404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 190022AN
- Legal business name
- GRANDVIEW FOUNDATION, INC.
- Practice address
- 1230 N Marengo Ave
Pasadena, CA 91103-2217 - Phone
- (626) 797-1124
- Fax
- (626) 398-9674
- NPI assigned
- Dec 9, 2010
- 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
- Mr. Douglas Lewis Campbell, M.A.
- Title
- Ceo&Executive Direct
- Phone
- (626) 797-1124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 190022AN | CA | Primary |
Addresses
Primary practice location
1230 N Marengo Ave
Pasadena, CA 91103-2217
Mailing address
1230 N Marengo Ave
Pasadena, CA 91103-2217
Phone (626) 797-1124
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2227988 | Grandview Foundation Inc | Certificate of waiver | Jun 20, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Grandview Foundation Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Pasadena, CA
- NPI 1669923611
-
- Voluntary or Charitable Agency
- Pasadena, CA
- NPI 1407990757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376352000000",
"number": "1295038404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 N MARENGO AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911032217",
"telephone_number": "626-797-1124",
"fax_number": "626-398-9674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 N MARENGO AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911032217",
"telephone_number": "626-797-1124",
"fax_number": "626-398-9674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANDVIEW FOUNDATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-09",
"last_updated": "2013-08-13",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "CEO&EXECUTIVE DIRECT",
"authorized_official_telephone_number": "626-797-1124",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "190022AN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.