Lassen Aurora Network

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LASSEN AURORA NETWORK

Practice address

815 Cottage St
Susanville, CA 96130-4401

Phone

(530) 257-3864

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Kam Vento

Title

Executive Director

Phone

(530) 257-3864

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1366920233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COTTAGE ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304401",
            "telephone_number": "530-257-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COTTAGE ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304401",
            "telephone_number": "530-257-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASSEN AURORA NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "VENTO",
        "authorized_official_first_name": "KAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-257-3864"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portia Joy Korver, FNP
• Julia Christine Kranz, RN
• Fuad Kuliyev
• Teresa C Langslet, PA-C
• Lassen ABA LLC
• Lassen County
• Lassen County Behavioral Health
• Lassen County Child Support
• Lassen County Community Social Services
• Lassen County Mental Health

• Community/Behavioral Health Agency in Susanville, CA
• Providers in Susanville, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.