Organization Active NPI

Spectrum Optimal Care, LLC

Doing business as Spectrum Optimal Care

  • Community/Behavioral Health Agency
  • Barstow, CA
National Provider Identifier
1689463804
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECTRUM OPTIMAL CARE, LLC
Doing business as
Spectrum Optimal Care
Practice address
405 Wilshire PL
Barstow, CA 92311-2928
Phone
(909) 295-0388
NPI assigned
May 5, 2025
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Tawana Patron, BCBANPI 1942958269
Title
Bcba - Clinical Director
Phone
(909) 295-0388

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

405 Wilshire PL
Barstow, CA 92311-2928

Mailing address

405 Wilshire PL
Barstow, CA 92311-2928
Phone (909) 295-0388

Other names 1

  • Spectrum Optimal Care Doing business as

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": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1689463804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WILSHIRE PL",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112928",
            "telephone_number": "909-295-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WILSHIRE PL",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112928",
            "telephone_number": "909-295-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OPTIMAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-04",
        "status": "A",
        "authorized_official_last_name": "PATRON",
        "authorized_official_first_name": "TAWANA",
        "authorized_official_title_or_position": "BCBA - CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "909-295-0388",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Optimal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.