Active NPI
Adilene De la Rosa
- Addiction (Substance Use Disorder) Counselor
- Baldwin Park, CA
National Provider Identifier
1629661905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1419160221
- Practice address
- 13001 Ramona Blvd Ste J
Baldwin Park, CA 91706-3752 - Phone
- (626) 472-6000
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1419160221 | CA | Primary |
Addresses
Primary practice location
13001 Ramona Blvd Ste J
Baldwin Park, CA 91706-3752
Mailing address
13001 Ramona Blvd Ste J
Baldwin Park, CA 91706-3752
Phone (626) 472-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1419160221 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Services Inc. | Past | Accepting new patients | |
| American Recovery Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Substance Abuse Rehabilitation Facility
- Pomona, CA
- NPI 1467799759
-
dba Amercian Recovery Center
- Substance Abuse Rehabilitation Facility
- Pomona, CA
- NPI 1932230505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1629661905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13001 RAMONA BLVD STE J",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063752",
"telephone_number": "626-472-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 RAMONA BLVD STE J",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063752",
"telephone_number": "626-472-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA ROSA",
"first_name": "ADILENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1419160221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.