NPIMap

Organization Active NPI

Paradise Oaks Youth Services

  • Mental Illness Community Based Residential Treatment Facility
  • Fair Oaks, CA
National Provider Identifier
1508377854
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
347006002 Issued in CA
Legal business name
PARADISE OAKS YOUTH SERVICES
Practice address
8297 Sunset Ave
Fair Oaks, CA 95628-5153
Phone
(916) 967-6253
Fax
(916) 967-9413
NPI assigned
Oct 13, 2017
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Jennifer Thompson
Title
Quality Assurance Director
Phone
(916) 967-6253

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 347005967 CA
Mental Illness Community Based Residential Treatment Facility 320800000X 347005963 CA
Mental Illness Community Based Residential Treatment Facility 320800000X 340317015 CA
Mental Illness Community Based Residential Treatment Facility 320800000X 347005997 CA
Mental Illness Community Based Residential Treatment Facility 320800000X 347006002 CA Primary

Addresses

Primary practice location

8297 Sunset Ave
Fair Oaks, CA 95628-5153

Mailing address

6060 Sunrise Vista Dr Ste 2100
Citrus Heights, CA 95610-7068
Phone (916) 967-6253

Other practice location 1

6904 Main Ave
Orangevale, CA 95662-3621
Phone (916) 967-6253 ext. 21

Other practice location 2

6832 Rosa Vista Ln
Citrus Heights, CA 95610-3920
Phone (916) 967-6253 ext. 21

Other practice location 3

4221 Waymar Ct
Carmichael, CA 95608-1659
Phone (916) 967-6253 ext. 21

Other practice location 4

7331 Hazel Ave
Orangevale, CA 95662-2440
Phone (916) 967-6253 ext. 21

National Provider Directory

National Provider Directory
Tax ID family
Paradise Oaks Youth Services16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1508377854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 SUNRISE VISTA DR STE 2100",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107068",
            "telephone_number": "916-967-6253",
            "fax_number": "916-967-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8297 SUNSET AVE",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956285153",
            "telephone_number": "916-967-6253",
            "fax_number": "916-967-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6904 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Orangevale",
            "state": "CA",
            "postal_code": "956623621",
            "country_code": "US",
            "telephone_number": "916-967-6253 x21",
            "fax_number": "916-967-9413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6832 Rosa Vista Ln",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "956103920",
            "country_code": "US",
            "telephone_number": "916-967-6253 x21",
            "fax_number": "916-967-9413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4221 Waymar Ct",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956081659",
            "country_code": "US",
            "telephone_number": "916-967-6253 x21",
            "fax_number": "916-967-9413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7331 Hazel Ave",
            "address_purpose": "LOCATION",
            "city": "Orangevale",
            "state": "CA",
            "postal_code": "956622440",
            "country_code": "US",
            "telephone_number": "916-967-6253 x21",
            "fax_number": "916-967-9413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADISE OAKS YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "QUALITY ASSURANCE DIRECTOR",
        "authorized_official_telephone_number": "916-967-6253"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "347005967",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "347005963",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "340317015",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "347005997",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "347006002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.