Organization Active NPI

Mt Golden Corporation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Simi Valley, CA
National Provider Identifier
1730678079
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
MT GOLDEN CORPORATION
Doing business as
Adjustments Family Services
Practice address
3010 E Los Angeles Ave
Simi Valley, CA 93065-3939
Phone
(805) 228-2826
Fax
(818) 401-9387
NPI assigned
May 2, 2018
Organization subpart
Yes
Parent organization
MT GOLDEN CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Authorized official

Name
Mrs. McKay Whiting
Title
Owner
Phone
(805) 228-2826

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3010 E Los Angeles Ave
Simi Valley, CA 93065-3939

Mailing address

7133 Darby Ave Ste a
Reseda, CA 91335-4428
Phone (805) 228-2826

Other names 1

  • Adjustments Family Services Doing business as

National Provider Directory

National Provider Directory
Part of
Mt Golden Corporation

Locations

3010 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 228-2826

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1730678079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7133 DARBY AVE STE A",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354428",
            "telephone_number": "805-228-2826",
            "fax_number": "818-401-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 E LOS ANGELES AVE",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653939",
            "telephone_number": "805-228-2826",
            "fax_number": "818-401-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT GOLDEN CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MT GOLDEN CORPORATION",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "MCKAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-228-2826",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adjustments Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adjustments Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.