NPIMap

Organization Active NPI

South Coast Children'S Society, Inc.

  • Community/Behavioral Health Agency
  • Chino, CA
National Provider Identifier
1629429378
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH COAST CHILDREN'S SOCIETY, INC.
Practice address
11780 Central Ave Ste 205
Chino, CA 91710-6499
Phone
(909) 835-4800
Fax
(909) 547-6552
NPI assigned
Jun 23, 2016
Organization subpart
Yes
Parent organization
SOUTH COAST CHILDREN'S SOCIETYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Mrs. Kathleen Darling
Title
Chief Operations Officer
Phone
(909) 838-4274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11780 Central Ave Ste 205
Chino, CA 91710-6499

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Phone (909) 980-6700

Other names 1

  • South Coast Community Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000241 CA Part B Supplier - Clinic/Group Practice 7315078789 Receives reassigned benefits from 3 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chino, CA; Colton, CA; Costa Mesa, CA; Mission Viejo, CA; Rancho Cucamonga, CA; Redlands, CA; Upland, CA; Yucaipa, CA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
South Coast Traverse23 organizations share this tax ID, including this one
Part of
South Coast Traverse

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1629429378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 160",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912777",
            "telephone_number": "909-980-6700",
            "fax_number": "909-547-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11780 CENTRAL AVE STE 205",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917106499",
            "telephone_number": "909-835-4800",
            "fax_number": "909-547-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST CHILDREN'S SOCIETY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH COAST CHILDREN'S SOCIETY",
        "enumeration_date": "2016-06-23",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "DARLING",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "909-838-4274",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Coast Community Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Coast Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.