NPIMap

Organization Active NPI

El Dorado Community Service Center

  • Primary Care Clinic/Center
  • Newhall, CA
National Provider Identifier
1508935230
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
960000933 Issued in CA
Legal business name
EL DORADO COMMUNITY SERVICE CENTER
Practice address
24625 Arch St
Newhall, CA 91321-1111
Phone
(661) 288-2644
Fax
(661) 288-1669
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Cynthia Ann Blanks
Title
Executive Director
Phone
(661) 254-6630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X
Primary Care Clinic/Center 261QP2300X 960000933 CA Primary

Addresses

Primary practice location

24625 Arch St
Newhall, CA 91321-1111

Mailing address

PO Box 801809
Valencia, CA 91380-1809
Phone (661) 254-6630

Other identifiers 3

IdentifierTypeStateIssuer
CMM70648FMedicaidCA
19-137MedicaidCA
6714MedicaidCA

Other names 1

  • SANTA CLARITA MEDICAL & MENTAL HEALTH SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Opioid treatment program
Medicare-enrolled since Feb 12, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050111000696 CA Part B Supplier - Clinic/Group Practice 4183672645 Receives reassigned benefits from 15 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Azusa, CA; Venice, CA; Van Nuys, CA; San Francisco, CA; Palmdale, CA; Newhall, CA; Los Angeles, CA; Lawndale, CA…
O20200602002526 CA Part B Supplier - Opioid Treatment Program (Otp) 4183672645 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Inglewood, CA; San Diego, CA; Newhall, CA; Lawndale, CA

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

14611 Hawthorne Blvd
Lawndale, CA 90260
Phone (424) 374-8053

5015 W Pico Blvd
Los Angeles, CA 90019
Phone (323) 653-1677

5200 San Gabriel Pl
Ste Bc
Pico Rivera, CA 90660
Phone (562) 222-1331

6265 Sepulveda Blvd
Ste 10
Van Nuys, CA 91411
Phone (818) 779-0555

6265 Sepulveda Blvd
Ste 9
Van Nuys, CA 91411
Phone (818) 468-7413

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1508935230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801809",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913801809",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24625 ARCH ST",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913211111",
            "telephone_number": "661-288-2644",
            "fax_number": "661-288-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL DORADO COMMUNITY SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "BLANKS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "661-254-6630"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "960000933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CMM70648F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19-137",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6714",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTA CLARITA MEDICAL & MENTAL HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newhall, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.