NPIMap

Organization Active NPI

Crestwood Behavioral Health, Inc.

Doing business as Champion Healing Center

  • Mental Illness Intermediate Care Facility
  • Lompoc, CA
National Provider Identifier
1487282273
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
Legal business name
CRESTWOOD BEHAVIORAL HEALTH, INC.
Doing business as
Champion Healing Center
Practice address
303 S C St
Lompoc, CA 93436-7305
Phone
(805) 308-8720
Fax
(805) 735-4430
NPI assigned
Mar 29, 2020
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CRESTWOOD BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Michelle Smith
Title
Executive Director Reimbursement
Phone
(209) 955-2364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Intermediate Care Facility 310500000X NU Primary

Addresses

Primary practice location

303 S C St
Lompoc, CA 93436-7305

Mailing address

7590 Shoreline Dr
Stockton, CA 95219-5455
Phone (209) 955-2339

Other names 1

  • Champion Healing Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2298609Crestwood Lompoc - Champion Healing Center303 South C Street, Lompoc, CA 93436Certificate of waiverFeb 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Crestwood PHF Sacramento71 organizations share this tax ID, including this one
Part of
Crestwood PHF Sacramento

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1487282273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7590 SHORELINE DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952195455",
            "telephone_number": "209-955-2339",
            "fax_number": "209-644-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S C ST",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367305",
            "telephone_number": "805-308-8720",
            "fax_number": "805-735-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRESTWOOD BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2020-03-29",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "209-955-2364"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Champion Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.