NPIMap

Organization Active NPI

Easter Seals Southern California, Inc

  • Behavior Analyst
  • Irvine, CA
National Provider Identifier
1619255841
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EASTER SEALS SOUTHERN CALIFORNIA, INC
Practice address
1063 McGaw Ave Ste 100
Irvine, CA 92614-5554
Phone
(714) 834-1111
Fax
(714) 834-1128
NPI assigned
Jul 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Susan Berglund
Title
Cfo
Phone
(714) 834-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1063 McGaw Ave Ste 100
Irvine, CA 92614-5554

Mailing address

1063 McGaw Ave Ste 100
Irvine, CA 92614-5554
Phone (714) 834-1111

National Provider Directory

National Provider Directory

Locations

255 E Rincon St
Ste 219
Corona, CA 92879
Phone (951) 817-5328

325 E Rowland St
Covina, CA 91723
Phone (626) 257-7345

1411 W 190th St
Ste 110
Gardena, CA 90248
Phone (310) 542-2148

17802 Sky Park Cir
Ste 108
Irvine, CA 92614

44460 20th St W
Lancaster, CA 93534
Phone (661) 382-2260

7910 La Tijera Blvd
Los Angeles, CA 90045
Phone (310) 649-5731

18860 Nordhoff St
Northridge, CA 91324
Phone (714) 673-9319

9620 Chesapeake Dr
Ste 105
San Diego, CA 92123
Phone (858) 505-9083

1570 E 17th St
Santa Ana, CA 92705
Phone (818) 660-2789

223 E Thousand Oaks Blvd
Ste 100
Thousand Oaks, CA 91360
Phone (805) 418-9952

27200 Tourney Rd
Ste 255
Valencia, CA 91355
Phone (661) 222-9901

10730 Henderson Rd
Ventura, CA 93004
Phone (805) 647-1141

13135 Barton Rd
Ste A
Whittier, CA 90605
Phone (562) 944-2794

Practitioners & affiliated clinicians

Practitioners 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1619255841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 MCGAW AVE STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145554",
            "telephone_number": "714-834-1111",
            "fax_number": "714-834-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 MCGAW AVE STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145554",
            "telephone_number": "714-834-1111",
            "fax_number": "714-834-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS SOUTHERN CALIFORNIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-21",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "BERGLUND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-834-1111"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.