Ca Mentor

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

CA MENTOR

Practice address

10200 Sepulveda Blvd Ste 170
Mission Hills, CA 91345-3322

Phone

(818) 895-9707

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Nicole WalshNPI 1568125284

Title

Child & Family Specialist

Phone

(818) 987-7144

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicole Walsh

  • Peer Specialist
  • Camarillo, CA
  • NPI 1568125284

  Case Manager/Care Coordinator

  NPD Authorized official

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1326701186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 WARRENDALE ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930657050",
            "telephone_number": "818-987-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SEPULVEDA BLVD STE 170",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913453322",
            "telephone_number": "818-895-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA MENTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2024-04-16",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CHILD & FAMILY SPECIALIST",
        "authorized_official_telephone_number": "818-987-7144"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Anne Brown, DPT
• Jay J Brown, M.D.
• Daniel Brueggemann, M.D.
• Gilberto Bultron, M.D.
• Karin Yepremian Butcher, M.D.
• Luis Manuel Cadena, MMS, PA-C
• Donna Cagle, FNP
• Carla M Calderon, N.P.
• California State Home Health Agency, Inc.
• Emily Capella, DPT

• Case Manager/Care Coordinator in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.