NPIMap

Organization Active NPI

Foothill Family Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Covina, CA
National Provider Identifier
1649747213
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FOOTHILL FAMILY SERVICE
Practice address
2800 E Hollingworth St
West Covina, CA 91792-3029
Phone
(626) 993-3000
Fax
(626) 993-3084
NPI assigned
Oct 31, 2018
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FOOTHILL FAMILY SERVICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
James Siegrist
Title
Cfo
Phone
(626) 993-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2800 E Hollingworth St
West Covina, CA 91792-3029

Mailing address

2500 E Foothill Blvd Ste 300
Pasadena, CA 91107-7102
Phone (626) 993-3000

National Provider Directory

National Provider Directory
Tax ID family
Foothill Family Service13 organizations share this tax ID, including this one
Part of
Foothill Family Service

Other organizations with this tax ID 12

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

Locations

2800 E Hollingworth St
West Covina, CA 91792
Phone (626) 559-1329

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1649747213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E FOOTHILL BLVD STE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077102",
            "telephone_number": "626-993-3000",
            "fax_number": "626-993-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E HOLLINGWORTH ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923029",
            "telephone_number": "626-993-3000",
            "fax_number": "626-993-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILL FAMILY SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOOTHILL FAMILY SERVICE",
        "enumeration_date": "2018-10-31",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "SIEGRIST",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-993-3003"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.