NPIMap

Organization Active NPI

Casa de Amparo

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Oceanside, CA
National Provider Identifier
1588868525
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
51017 Issued in CA
Legal business name
CASA DE AMPARO
Practice address
3355 Mission Ave
Oceanside, CA 92054-1326
Phone
(760) 754-5517
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Trinette M. Conover, IMF
Title
Therapist Intern
Phone
(760) 754-5517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 51017 CA Primary

Addresses

Primary practice location

3355 Mission Ave
Oceanside, CA 92054-1326

Mailing address

3355 Mission Ave
Oceanside, CA 92054-1326
Phone (760) 754-5517

National Provider Directory

National Provider Directory
Tax ID family
Casa de Amparo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588868525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 MISSION AVE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920541326",
            "telephone_number": "760-754-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MISSION AVE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920541326",
            "telephone_number": "760-754-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE AMPARO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONOVER",
        "authorized_official_first_name": "TRINETTE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "THERAPIST INTERN",
        "authorized_official_telephone_number": "760-754-5517",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "IMF"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "51017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.