Organization Active NPI

Paradise Oaks Youth Services

  • Mental Illness Community Based Residential Treatment Facility
  • Orangevale, CA
National Provider Identifier
1427569656
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
347005997 Issued in CA
Legal business name
PARADISE OAKS YOUTH SERVICES
Practice address
6904 Main Ave
Orangevale, CA 95662-3621
Phone
(916) 967-6253
Fax
(916) 967-9413
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Jennifer Thompson
Title
Quality Assurance Director
Phone
(916) 967-6253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 347005997 CA Primary

Addresses

Primary practice location

6904 Main Ave
Orangevale, CA 95662-3621

Mailing address

6060 Sunrise Vista Dr Ste 2100
Citrus Heights, CA 95610-7068
Phone (916) 967-6253

National Provider Directory

National Provider Directory
Tax ID family
Paradise Oaks Youth Services16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1427569656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 SUNRISE VISTA DR STE 2100",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107068",
            "telephone_number": "916-967-6253",
            "fax_number": "916-967-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 MAIN AVE",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956623621",
            "telephone_number": "916-967-6253",
            "fax_number": "916-967-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE OAKS YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "QUALITY ASSURANCE DIRECTOR",
        "authorized_official_telephone_number": "916-967-6253"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "347005997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangevale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.