Active NPI
Hillsides
- Mental Illness Community Based Residential Treatment Facility
- Pasadena, CA
National Provider Identifier
1639613821
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
- 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
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
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.