Organization Active NPI

California Centers for Psychiatric Wellness and Health

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Escondido, CA
National Provider Identifier
1669965885
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
CALIFORNIA CENTERS FOR PSYCHIATRIC WELLNESS AND HEALTH
Practice address
160 N Date St
Escondido, CA 92025-3406
Phone
(800) 674-7207
Fax
(800) 674-7207
NPI assigned
Jun 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Parmis Khatibi, PHARM.D.NPI 1255484457
Title
Ceo
Phone
(949) 295-0414

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
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P2900X Primary

Addresses

Primary practice location

160 N Date St
Escondido, CA 92025-3406

Mailing address

29911 Niguel Rd Unit 6305
Laguna Niguel, CA 92607-2412
Phone (800) 674-7207

Other practice location 1

1307 W 6th St Ste 105
Corona, CA 92882-1644
Phone (949) 295-0414

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.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1669965885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29911 NIGUEL RD UNIT 6305",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926072412",
            "telephone_number": "800-674-7207",
            "fax_number": "800-674-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N DATE ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253406",
            "telephone_number": "800-674-7207",
            "fax_number": "800-674-7207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1307 W 6th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928821644",
            "country_code": "US",
            "telephone_number": "949-295-0414",
            "fax_number": "888-873-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA CENTERS FOR PSYCHIATRIC WELLNESS AND HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "KHATIBI",
        "authorized_official_first_name": "PARMIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-295-0414",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.