Active NPI
Aptus Pacem, LLC
- Mental Illness Community Based Residential Treatment Facility
- Los Angeles, CA
National Provider Identifier
1386283984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197609670 | Other | CA | COMMUNITY BASED RESIDENTIAL TREATMENT FACILITY, MENTAL ILLNESS |
Other names 1
- FAIR OAKS MANOR III
National Provider Directory
National Provider DirectoryLocations
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.