NPIMap

Western Youth Services

Organization Active NPI Early Intervention Provider Agency · Anaheim, CA

NPI 1316209554 · NPPES record last updated Jun 13, 2012

Key facts

NPI
1316209554
Entity type
Organization (NPI type 2)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Legal business name
WESTERN YOUTH SERVICES
Practice address
1260 N Riviera St
Anaheim, CA 92801-2306
Phone
(714) 765-3776
NPI assigned
Jun 13, 2012
Organization subpart
No

Authorized official

Name
Lorry Leigh
Title
Ceo
Phone
(949) 855-1556

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Metro Nashville Public Health Dept (103 organizations share this tax ID)

Locations

1260 N Riviera St
Anaheim, CA 92801
Phone (714) 765-3776

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

1260 N Riviera St
Anaheim, CA 92801-2306

Mailing address

1260 N Riviera St
Anaheim, CA 92801-2306

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2012.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1316209554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 N RIVIERA ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N RIVIERA ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012306",
            "telephone_number": "714-765-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "LEIGH",
        "authorized_official_first_name": "LORRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-855-1556"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

All providers in Anaheim, CA · Early Intervention Provider Agency in California

Sources for this page

Verify at the official NPI Registry.