NPIMap

Organization Active NPI

American Recovery Center

  • Children's Substance Abuse Rehabilitation Facility
  • Pomona, CA
National Provider Identifier
1467799759
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
License
190007MN Issued in CA
Legal business name
AMERICAN RECOVERY CENTER
Practice address
2180 Valley Blvd
Pomona, CA 91768-3325
Phone
(909) 865-2336
Fax
(909) 865-3496
NPI assigned
Jan 7, 2013
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
BEHAVIORAL HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Teri Canon
Title
Executive Vice President
Phone
(310) 679-9126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X 190007MN CA Primary

Addresses

Primary practice location

2180 Valley Blvd
Pomona, CA 91768-3325

Mailing address

2180 Valley Blvd
Pomona, CA 91768-3325
Phone (909) 865-2336

National Provider Directory

National Provider Directory

Locations

2180 Valley Blvd
Pomona, CA 91768
Phone (909) 865-2336

Practitioners & affiliated clinicians

Practitioners 143

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.

View all 143

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1467799759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 VALLEY BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683325",
            "telephone_number": "909-865-2336",
            "fax_number": "909-865-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 VALLEY BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683325",
            "telephone_number": "909-865-2336",
            "fax_number": "909-865-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN RECOVERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEHAVIORAL HEALTH SERVICES",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "CANON",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "310-679-9126"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "190007MN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.