Organization Active NPI

Aurum Health

Doing business as Aspen Treatment Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Simi Valley, CA
National Provider Identifier
1396519450
Registry record updated Nov 9, 2023
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
AURUM HEALTH
Doing business as
Aspen Treatment Center
Practice address
1445 E Los Angeles Ave Ste 104
Simi Valley, CA 93065-2826
Phone
(805) 823-5966
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
John Poleno
Title
Owner
Phone
(805) 823-5966

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1445 E Los Angeles Ave Ste 104
Simi Valley, CA 93065-2826

Mailing address

1445 E Los Angeles Ave Ste 104
Simi Valley, CA 93065-2826
Phone (805) 823-5966

Other names 1

  • Aspen Treatment Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1396519450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 E LOS ANGELES AVE STE 104",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652826",
            "telephone_number": "805-823-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 E LOS ANGELES AVE STE 104",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652826",
            "telephone_number": "805-823-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURUM HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "POLENO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-823-5966"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.