Oc Teen Center LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

OC TEEN CENTER LLC

Practice address

4510 E Pacific Coast Hwy Ste 120
Long Beach, CA 90804-6939

Phone

(800) 478-0233

NPI assigned

Sep 27, 2024

Last updated

Sep 27, 2024By 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

Jonah BautistaNPI 1457896136

Title

Office Manager

Phone

(949) 306-2054

Specialties & licenses 1

Addresses

Tax ID family

Oc Teen Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oc Teen Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Costa Mesa, CA
  • NPI 1528650686
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonah Bautista

  • Licensed Vocational Nurse
  • Santa Ana, CA
  • NPI 1457896136
  NPD Authorized official

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1336967454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY STE 120",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY STE 120",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046939",
            "telephone_number": "800-478-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC TEEN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-306-2054"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilka Oblitas, MA
• Obria Medical Clinics of Southern California, Inc.
• Obsidian (Empower Ambulance Company)
• Natalia Yolanda Obzejta, MD
• Oc Glaucoma
• Ernesto Ocampo
• Fabiola Lazarte Ocampo, M.S.
• Garry Ocampo
• Jamie Allyson Ocampo
• Aubree Skyler Ocana

• Adolescent and Children Mental Health Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Adolescent and Children Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.