NPIMap

Organization Active NPI

Epidaurus

Doing business as Amity Foundation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Vista, CA
National Provider Identifier
1417434176
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EPIDAURUS
Doing business as
Amity Foundation
Practice address
2260 Watson Way
Vista, CA 92083-7924
Phone
(760) 559-1802
NPI assigned
Jul 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Olga Mellizo
Title
Director of Grant Development
Phone
(970) 889-2351

Specialties & licenses 1

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

Addresses

Primary practice location

2260 Watson Way
Vista, CA 92083-7924

Mailing address

1312 Hastings Dr
Fort Collins, CO 80526-2453
Phone (970) 889-2351

Other names 1

  • Amity Foundation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amity Foundation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

  • Epidaurus

    dba Amity Foundation

    • Community/Behavioral Health Agency
    • Los Angeles, CA
    • NPI 1144622689
    NPD tax ID
  • Epidaurus

    dba Amity Foundation

    • Case Management Agency
    • Anaheim, CA
    • NPI 1467299263
    NPD tax ID
  • Epidaurus

    dba Amity Foundation

    • Case Management Agency
    • Moreno Valley, CA
    • NPI 1639060668
    NPD tax ID
  • Epidaurus

    dba Amity Foundation

    • Case Management Agency
    • Los Angeles, CA
    • NPI 1689443772
    NPD tax ID
  • Epidaurus

    dba Amity Foundation

    • Community/Behavioral Health Agency
    • Albuquerque, NM
    • NPI 1699869172
    NPD tax ID
  • Epidaurus

    dba Amity Foundation

    • Substance Use Disorder Rehabilitation Clinic/Center
    • Tucson, AZ
    • NPI 1831968551
    NPD tax ID
  • Epidaurus (Dba)

    dba Amity Foundation

    • Substance Abuse Rehabilitation Facility
    • Tucson, AZ
    • NPI 1861505901
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1417434176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 HASTINGS DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262453",
            "telephone_number": "970-889-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 WATSON WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920837924",
            "telephone_number": "760-559-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIDAURUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "MELLIZO",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "DIRECTOR OF GRANT DEVELOPMENT",
        "authorized_official_telephone_number": "970-889-2351"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amity Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.