Organization Active NPI

Nineteen Behavioral Group

  • Community/Behavioral Health Agency
  • Anaheim, CA
National Provider Identifier
1689206039
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NINETEEN BEHAVIORAL GROUP
Practice address
1563 W Embassy St
Anaheim, CA 92802-1016
Phone
(714) 783-5518
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

Name
Dallas Aguilar
Title
Director
Phone
(714) 783-5518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1563 W Embassy St
Anaheim, CA 92802-1016

Mailing address

1563 W Embassy St
Anaheim, CA 92802-1016

National Provider Directory

National Provider Directory

Locations

1563 W Embassy St
Anaheim, CA 92802
Phone (714) 783-5518

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1689206039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1563 W EMBASSY ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 W EMBASSY ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021016",
            "telephone_number": "714-783-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINETEEN BEHAVIORAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-783-5518"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.