Organization Active NPI

Hillsides

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pasadena, CA
National Provider Identifier
1386463099
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HILLSIDES
Practice address
456 E Orange Grove Blvd Ste 140
Pasadena, CA 91104-5235
Phone
(626) 765-6010
NPI assigned
Oct 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Marisol Lara
Title
Qa Manager Administration
Phone
(323) 254-2274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

456 E Orange Grove Blvd Ste 140
Pasadena, CA 91104-5235

Mailing address

940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 254-2274

Other names 1

  • Hillsides Youth Moving On Other name

National Provider Directory

National Provider Directory
Tax ID family
Hillsides9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1386463099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 AVENUE 64",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052711",
            "telephone_number": "323-254-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 E ORANGE GROVE BLVD STE 140",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911045235",
            "telephone_number": "626-765-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "QA MANAGER ADMINISTRATION",
        "authorized_official_telephone_number": "323-254-2274"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsides Youth Moving On",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.