Organization Active NPI

Aptus Pacem, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1386283984
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
APTUS PACEM, LLC
Practice address
5035 E Echo St
Los Angeles, CA 90042-3915
Phone
(818) 846-4469
NPI assigned
Dec 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Teodulo Bonzon
Title
Manager
Phone
(818) 846-4469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

5035 E Echo St
Los Angeles, CA 90042-3915

Mailing address

3013 Annita Dr
Glendale, CA 91206-1302
Phone (818) 846-4469

Other identifiers 1

IdentifierTypeStateIssuer
197609670OtherCACOMMUNITY BASED RESIDENTIAL TREATMENT FACILITY, MENTAL ILLNESS

Other names 1

  • FAIR OAKS MANOR III Doing business as

National Provider Directory

National Provider Directory

Locations

5035 E Echo St
Los Angeles, CA 90042
Phone (323) 255-0797

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1386283984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 ANNITA DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912061302",
            "telephone_number": "818-846-4469",
            "fax_number": "818-457-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 E ECHO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900423915",
            "telephone_number": "818-846-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APTUS PACEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "BONZON",
        "authorized_official_first_name": "TEODULO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-846-4469"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BASED RESIDENTIAL TREATMENT FACILITY, MENTAL ILLNESS",
            "identifier": "197609670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIR OAKS MANOR III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.