NPIMap

Organization Active NPI

P.H.I.L.O.S.Adolescent Treatment Centers, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Rialto, CA
National Provider Identifier
1447876123
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
P.H.I.L.O.S.ADOLESCENT TREATMENT CENTERS, INC.
Practice address
454 E Cerritos St
Rialto, CA 92376-3658
Phone
(909) 873-1379
Fax
(909) 777-0011
NPI assigned
Jun 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Authorized official

Name
Mr. Thomas R Ybarra Sr.
Title
Administrative Director
Phone
(909) 777-3599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

454 E Cerritos St
Rialto, CA 92376-3658

Mailing address

PO Box 821
Rialto, CA 92377-0821
Phone (909) 777-3599

National Provider Directory

National Provider Directory
Tax ID family
Philosadolescent Treatment Centers Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1447876123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923770821",
            "telephone_number": "909-777-3599",
            "fax_number": "909-777-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E CERRITOS ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923763658",
            "telephone_number": "909-873-1379",
            "fax_number": "909-777-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.H.I.L.O.S.ADOLESCENT TREATMENT CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "909-777-3599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.