NPIMap

Organization Active NPI

Pinnacle Center for Autism, LLC.

  • Adolescent and Children Mental Health Clinic/Center
  • El Segundo, CA
National Provider Identifier
1609360031
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PINNACLE CENTER FOR AUTISM, LLC.
Practice address
840 Apollo St Ste 100
El Segundo, CA 90245-4641
Phone
(866) 342-8847
Fax
(866) 342-8847
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Ooshie Oldham
Title
Owner
Phone
(866) 342-8847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

840 Apollo St Ste 100
El Segundo, CA 90245-4641

Mailing address

840 Apollo St Ste 100
El Segundo, CA 90245-4641
Phone (866) 342-8847

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1609360031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 APOLLO ST STE 100",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454641",
            "telephone_number": "866-342-8847",
            "fax_number": "866-342-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 APOLLO ST STE 100",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454641",
            "telephone_number": "866-342-8847",
            "fax_number": "866-342-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE CENTER FOR AUTISM, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "OLDHAM",
        "authorized_official_first_name": "OOSHIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-342-8847"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.