NPIMap

Organization Active NPI

Diogenes Youth Services Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sacramento, CA
National Provider Identifier
1639179658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
340062AN Issued in CA
Legal business name
DIOGENES YOUTH SERVICES INC
Practice address
9719 Lincoln Village Dr
Ste 203
Sacramento, CA 95827-3303
Phone
(916) 369-5447
Fax
(916) 369-5389
NPI assigned
Aug 1, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James H Bueto, MPA
Title
Executive Director
Phone
(916) 369-5447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 340062AN CA Primary

Addresses

Primary practice location

9719 Lincoln Village Dr
Ste 203
Sacramento, CA 95827-3303

Mailing address

9719 Lincoln Village Dr
Ste 110
Sacramento, CA 95827-3303
Phone (916) 369-5447

National Provider Directory

National Provider Directory
Tax ID family
Diogenes Youth Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9719 Lincoln Village Dr
Ste 110
Sacramento, CA 95827

9719 Lincoln Village Dr
Ste 203
Sacramento, CA 95827
Phone (916) 369-5447

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639179658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9719 LINCOLN VILLAGE DR",
            "address_2": "STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273303",
            "telephone_number": "916-369-5447",
            "fax_number": "916-369-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9719 LINCOLN VILLAGE DR",
            "address_2": "STE 203",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958273303",
            "telephone_number": "916-369-5447",
            "fax_number": "916-369-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIOGENES YOUTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUETO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-369-5447",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "340062AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.