Organization Active NPI

Evaluation and Treatment Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Ana, CA
National Provider Identifier
1629169222
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
RN 537033 Issued in CA
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
1629169222As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.