Organization Active NPI

Creating New Pathways, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pacoima, CA
National Provider Identifier
1396485546
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CREATING NEW PATHWAYS, INC.
Practice address
10802 El Dorado Ave
Pacoima, CA 91331
Phone
(818) 900-5146
NPI assigned
Mar 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Daisy RosalesNPI 1013394253
Title
Owner
Phone
(818) 900-5146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10802 El Dorado Ave
Pacoima, CA 91331

Mailing address

11100 Sepulveda Blvd. Suite 8 #224
Mission Hills, CA 91345
Phone (818) 900-5146

National Provider Directory

National Provider Directory

Locations

11100 Sepulveda Blvd
Ste 8
Mission Hills, CA 91345

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1396485546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SEPULVEDA BLVD. SUITE 8 #224",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-900-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 EL DORADO AVE",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "91331",
            "telephone_number": "818-900-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING NEW PATHWAYS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-900-5146"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacoima, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.