P.E.L.S.a

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

P.E.L.S.A

Practice address

15363 Monterey Ave
Chino Hills, CA 91709-2754

Phone

(310) 383-7624

Fax

(909) 393-6622

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Elsa Rogers, RN, B.A., MSN-C

Title

VP, Cfo, Clinical Dir

Phone

(310) 383-7624

Specialties & licenses 1

Addresses

Other names 1

• (Providing Everyone Living Sober Assistance Other name

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1487830279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15363 MONTEREY AVE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092754",
            "telephone_number": "310-383-7624",
            "fax_number": "909-393-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15363 MONTEREY AVE",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917092754",
            "telephone_number": "310-383-7624",
            "fax_number": "909-393-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.E.L.S.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "VP, CFO, CLINICAL DIR",
        "authorized_official_telephone_number": "310-383-7624",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, B.A., MSN-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "(Providing Everyone Living Sober Assistance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alex Osorio
• Pat Osuji, NP
• Hung Kang Ou, MD
• Jinshu Owens
• P Grewal DDS Inc
• Pacifica Chino Hills LP
• Rosa Padron
• Jean Riezl Penullar Palma, RPH
• David John Palmer, LCSW
• Lowela Kho Palomares

• Community/Behavioral Health Agency in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.