Organization Active NPI

Training Center Ephesians 4:11-16

  • Substance Abuse Rehabilitation Facility
  • Spring Valley, CA
National Provider Identifier
1639665516
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TRAINING CENTER EPHESIANS 4:11-16
Practice address
525 Grand Ave
Spring Valley, CA 91977-5933
Phone
(619) 327-5400
Fax
(619) 324-5410
NPI assigned
Jul 3, 2018
Last updated
Mar 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Michael Alan Lazarus, CATC-IINPI 1508410259
Title
Center Manager
Phone
(619) 327-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

525 Grand Ave
Spring Valley, CA 91977-5933

Mailing address

525 Grand Ave
Spring Valley, CA 91977-5933
Phone (619) 327-5400

Other names 2

  • TRAINING CENTER EPHESIAN 4:11-16 Other name
  • TRAINING CENTER EPHESIANS Other name

National Provider Directory

National Provider Directory

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": "1530576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1639665516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 GRAND AVE",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919775933",
            "telephone_number": "619-327-5400",
            "fax_number": "619-324-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 GRAND AVE",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919775933",
            "telephone_number": "619-327-5400",
            "fax_number": "619-324-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAINING CENTER EPHESIANS 4:11-16",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-03",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CENTER MANAGER",
        "authorized_official_telephone_number": "619-327-5400",
        "authorized_official_credential": "CATC-II"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRAINING CENTER EPHESIAN 4:11-16",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TRAINING CENTER EPHESIANS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.