Active NPI
Hillsides
- Mental Illness Community Based Residential Treatment Facility
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- HILLSIDES
- Practice address
- 940 Avenue 64
Pasadena, CA 91105-2711 - Phone
- (323) 254-2274
- NPI assigned
- Dec 7, 2016
- Last updated
- Feb 10, 2025
- Organization subpart
- Yes
- Parent organization
- HILLSIDES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marisol M Lara
- Title
- Qa Manager Administration
- Phone
- (323) 254-2274
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
940 Avenue 64
Pasadena, CA 91105-2711
Mailing address
940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 254-2274
Other names 2
- Hillsides Outpatient
- Residential
National Provider Directory
National Provider Directory- Tax ID family
- Hillsides
- Part of
- Hillsides
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adolescent and Children Mental Health Clinic/Center
- Irwindale, CA
- NPI 1083158810
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Palmdale, CA
- NPI 1285289801
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Pasadena, CA
- NPI 1386463099
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pasadena, CA
- NPI 1477023265
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1619217841
-
- Community/Behavioral Health Agency
- Pomona, CA
- NPI 1700270188
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1720707987
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Commerce, CA
- NPI 1972047165
Locations
940 Avenue 64
Pasadena, CA 91105
Phone (323) 254-2274
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.
-
- Rehabilitation Practitioner
- Pasadena, CA
- NPI 1912336447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739145600000",
"number": "1639613821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 AVENUE 64",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052711",
"telephone_number": "323-254-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 AVENUE 64",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052711",
"telephone_number": "323-254-2274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSIDES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HILLSIDES",
"enumeration_date": "2016-12-07",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A",
"authorized_official_last_name": "LARA",
"authorized_official_first_name": "MARISOL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "QA MANAGER ADMINISTRATION",
"authorized_official_telephone_number": "323-254-2274"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hillsides Outpatient",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Hillsides Outpatient",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Residential",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.