Impression Healthcare Services, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

LCS 23258 Issued in CA

Legal business name

IMPRESSION HEALTHCARE SERVICES, INC.

Practice address

22573 Barton Rd.
Grand Terrace, CA 92313

Phone

(909) 514-1505

Fax

(909) 498-1360

NPI assigned

Aug 7, 2009

Last updated

Aug 7, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Ramon Sanft, LCSW

Title

Owner/Director

Phone

(909) 709-7705

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Elizabeth Carbajal Gallegos, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cathedral City, CA
  • NPI 1730119793
  NPD (past)
• Khadija H Hamisi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, CA
  • NPI 1225360498
  NPD (past)

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1487885497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22573 BARTON RD.",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "92313",
            "telephone_number": "909-514-1505",
            "fax_number": "909-498-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22573 BARTON RD.",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "92313",
            "telephone_number": "909-514-1505",
            "fax_number": "909-498-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESSION HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "SANFT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "909-709-7705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "LCS 23258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thien Thu T Huynh, PHARMD
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• John Phillip Iyott
• Jan Louise Rodriguez (Quality DME Solutions)
• Jarco Medical Group, LLC
• Kimberly Jardine

• Mental Illness Community Based Residential Treatment Facility in Grand Terrace, CA
• Providers in Grand Terrace, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.