Organization Active NPI

Hillsides

  • Mental Illness Community Based Residential Treatment Facility
  • Pasadena, CA
National Provider Identifier
1639613821
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HILLSIDES
Practice address
940 Avenue 64
Pasadena, CA 91105-2711
Phone
(323) 254-2274
NPI assigned
Dec 7, 2016
Organization subpart
Yes
Parent organization
HILLSIDESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name
  • Residential Other name

National Provider Directory

National Provider Directory
Tax ID family
Hillsides9 organizations share this tax ID, including this one
Part of
Hillsides

Other organizations with this tax ID 8

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

Locations

940 Avenue 64
Pasadena, CA 91105
Phone (323) 254-2274

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.

Verify at the official NPI Registry.