NPIMap

Organization Active NPI

Ability Pathways Incorporated

  • Intellectual Disabilities Intermediate Care Facility
  • Sun Valley, CA
National Provider Identifier
1467580456
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
9600001091 Issued in CA
Legal business name
ABILITY PATHWAYS INCORPORATED
Practice address
9714 La Tuna Canyon
Sun Valley, CA 91352-2234
Phone
(818) 768-6765
Fax
(909) 981-0296
NPI assigned
Mar 1, 2007
Last updated
Nov 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Authorized official

Name
Ms. Michelle ClarkeNPI 1245765791
Title
President
Phone
(909) 240-7680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 9600001091 CA Primary

Addresses

Primary practice location

9714 La Tuna Canyon
Sun Valley, CA 91352-2234

Mailing address

1042 N. Mountain Ave
B-447
Upland, CA 91786-3695
Phone (909) 982-2991

Other identifiers 1

IdentifierTypeStateIssuer
LTC60898GMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Connie Mae15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

1042 N Mountain Ave
#B447
Upland, CA 91786
Phone (909) 240-7680

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509926400000",
    "number": "1467580456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 N. MOUNTAIN AVE",
            "address_2": "B-447",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863695",
            "telephone_number": "909-982-2991",
            "fax_number": "909-981-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 LA TUNA CANYON",
            "city": "SUN VALLEY",
            "state": "CA",
            "postal_code": "913522234",
            "telephone_number": "818-768-6765",
            "fax_number": "909-981-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITY PATHWAYS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2017-11-06",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-240-7680",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "9600001091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60898G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.