Active NPI
Behavioral Health Services
- Community/Behavioral Health Agency
- San Pedro, CA
National Provider Identifier
1699049650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 95-283-8006
- Legal business name
- BEHAVIORAL HEALTH SERVICES
- Practice address
- 505 S Pacific Ave
San Pedro, CA 90731-2656 - Phone
- (310) 831-2358
- Fax
- (310) 831-2830
- NPI assigned
- Mar 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Eloisa Duenas Cuenca
- Title
- Program Director
- Phone
- (310) 679-9126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 95-283-8006 | CA | Primary |
Addresses
Primary practice location
505 S Pacific Ave
San Pedro, CA 90731-2656
Mailing address
505 S Pacific Ave
San Pedro, CA 90731-2656
Phone (310) 831-2358
National Provider Directory
National Provider DirectoryLocations
505 S Pacific Ave
San Pedro, CA 90731
Phone (310) 831-2358
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- San Pedro, CA
- NPI 1285965418
-
- Addiction (Substance Use Disorder) Counselor
- San Pedro, CA
- NPI 1427425438
-
- Counselor
- San Pedro, CA
- NPI 1154681765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332979200000",
"number": "1699049650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S PACIFIC AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907312656",
"telephone_number": "310-831-2358",
"fax_number": "310-831-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S PACIFIC AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907312656",
"telephone_number": "310-831-2358",
"fax_number": "310-831-2830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-29",
"status": "A",
"authorized_official_last_name": "CUENCA",
"authorized_official_first_name": "ELOISA",
"authorized_official_middle_name": "DUENAS",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "310-679-9126",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "95-283-8006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.