Active NPI
Zion Healing Center So-Cal
- Adult Mental Health Clinic/Center
- El Cajon, CA
National Provider Identifier
1497490155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- ZION HEALING CENTER SO-CAL
- Practice address
- 330 S Magnolia Ave Ste 203
El Cajon, CA 92020-5224 - Phone
- (435) 319-0351
- NPI assigned
- Apr 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greyden Josef Hedberg
- Title
- Revenue Cycle Manager
- Phone
- (435) 319-0351
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
330 S Magnolia Ave Ste 203
El Cajon, CA 92020-5224
Mailing address
158 N 240 E
Hurricane, UT 84737-1380
Phone (435) 319-0351
National Provider Directory
National Provider DirectoryLocations
330 S Magnolia Ave
Ste 203
El Cajon, CA 92020
Phone (435) 319-0351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651017600000",
"number": "1497490155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 N 240 E",
"city": "HURRICANE",
"state": "UT",
"postal_code": "847371380",
"telephone_number": "435-319-0351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S MAGNOLIA AVE STE 203",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920205224",
"telephone_number": "435-319-0351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZION HEALING CENTER SO-CAL",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-27",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A",
"authorized_official_last_name": "HEDBERG",
"authorized_official_first_name": "GREYDEN",
"authorized_official_middle_name": "JOSEF",
"authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "435-319-0351"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.