Organization Active NPI

Community Evolution Acquisition

  • Respite Care
  • San Pedro, CA
National Provider Identifier
1710849468
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
COMMUNITY EVOLUTION ACQUISITION
Practice address
1767 Vallecito Dr
San Pedro, CA 90732-4245
Phone
(424) 503-3336
NPI assigned
Dec 2, 2025
Last updated
Sep 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

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

Authorized official

Name
Tia Lopez, BACHELORS SOCIAL W
Title
Ceo
Phone
(424) 210-2933

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community Based Hospice Care Agency 251G00000X
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Respite Care 385H00000X Primary

Addresses

Primary practice location

1767 Vallecito Dr
San Pedro, CA 90732-4245

Mailing address

1767 Vallecito Dr
San Pedro, CA 90732-4245
Phone (424) 210-2933

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789776000000",
    "number": "1710849468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 VALLECITO DR",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324245",
            "telephone_number": "424-210-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 VALLECITO DR",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907324245",
            "telephone_number": "424-503-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EVOLUTION ACQUISITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-210-2933",
        "authorized_official_credential": "BACHELORS SOCIAL W"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "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 Sep 19, 2026; 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.