Active NPI
Evaluation and Treatment Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Ana, CA
National Provider Identifier
1629169222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- RN 537033
- Legal business name
- EVALUATION AND TREATMENT SERVICES
- Practice address
- 1030 W Warner Ave
Santa Ana, CA 92707-3147 - Phone
- (714) 834-6900
- NPI assigned
- Sep 27, 2006
- Organization subpart
- Yes
- Parent organization
- 1629169222
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- A. Michael P. Rillera, RN
- Title
- CCN II
- Phone
- (714) 834-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | RN 537033 | CA | Primary |
Addresses
Primary practice location
1030 W Warner Ave
Santa Ana, CA 92707-3147
Mailing address
1030 W Warner Ave
Santa Ana, CA 92707-3147
Phone (714) 834-6900
National Provider Directory
National Provider Directory- Part of
- Human Services Agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1629169222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 W WARNER AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927073147",
"telephone_number": "714-834-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 W WARNER AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927073147",
"telephone_number": "714-834-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVALUATION AND TREATMENT SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "1629169222",
"enumeration_date": "2006-09-27",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "RILLERA",
"authorized_official_first_name": "A. MICHAEL",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "CCN II",
"authorized_official_telephone_number": "714-834-6900",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "CA",
"license": "RN 537033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.