NPIMap

Organization Active NPI

Optimist Boys' Home & Ranch, Inc.

  • Psychiatric Residential Treatment Facility
  • Woodland Hills, CA
National Provider Identifier
1598208696
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
198209477 Issued in CA
Legal business name
OPTIMIST BOYS' HOME & RANCH, INC.
Practice address
4900 Serrania Ave
Woodland Hills, CA 91364-3301
Phone
(818) 657-3123
Fax
(818) 347-1326
NPI assigned
Nov 22, 2016
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Ms. Blythe Cotton Maling, PH.D.
Title
Chief Executive Officer
Phone
(323) 443-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 198209477 CA Primary

Addresses

Primary practice location

4900 Serrania Ave
Woodland Hills, CA 91364-3301

Mailing address

6957 N Figueroa St
Los Angeles, CA 90042-1245
Phone (323) 443-3175

Other identifiers 1

IdentifierTypeStateIssuer
00781OtherCAMEDI-CAL PROVIDER

Other names 1

  • Pacific Lodge Campus Other name

National Provider Directory

National Provider Directory
Tax ID family
Optimist Boys' Home and Ranch Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1598208696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421245",
            "telephone_number": "323-443-3175",
            "fax_number": "323-344-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SERRANIA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643301",
            "telephone_number": "818-657-3123",
            "fax_number": "818-347-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIST BOYS' HOME & RANCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "MALING",
        "authorized_official_first_name": "BLYTHE",
        "authorized_official_middle_name": "COTTON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-443-3101",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "198209477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER",
            "identifier": "00781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Lodge Campus",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Pacific Lodge Campus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.