Supportive Care Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SUPPORTIVE CARE SERVICES

Doing business as

360 CBAS Center

Practice address

14361 Beach Blvd Ste 105
Westminster, CA 92683-4568

Phone

(714) 901-0111

NPI assigned

Jan 13, 2020

Last updated

Jan 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Nguyen

Title

President

Phone

(714) 901-0111

Specialties & licenses 1

Addresses

Other names 1

• 360 CBAS Center Doing business as

Locations

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578873600000",
    "number": "1598305013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14361 BEACH BLVD STE 105",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14361 BEACH BLVD STE 105",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926834568",
            "telephone_number": "714-901-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-901-0111"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "360 CBAS Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angela Sureen, M.D.
• Joshua Stefan Suri, LPCC
• Greg Suzuki
• T Mai Phan MD Inc

• Adult Day Care Clinic/Center in Westminster, CA
• Providers in Westminster, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.