NPIMap

Organization Active NPI

Mission Prep Healthcare

  • Adolescent and Children Mental Health Clinic/Center
  • Rancho Palos Verdes, CA
National Provider Identifier
1730869454
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MISSION PREP HEALTHCARE
Practice address
430 Silver Spur Rd Ste 202
Rancho Palos Verdes, CA 90275-3571
Phone
(833) 589-5150
Fax
(949) 579-2876
NPI assigned
Jul 18, 2023
Last updated
Jul 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Jeffrey Farbman
Title
Director of Billing
Phone
(949) 301-2863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

430 Silver Spur Rd Ste 202
Rancho Palos Verdes, CA 90275-3571

Mailing address

30310 Rancho Viejo Rd
San Juan Capistrano, CA 92675-1576

National Provider Directory

National Provider Directory
Tax ID family
Mission Prep Healthcare9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

430 Silver Spur Rd
Ste 202
Rancho Palos Verdes, CA 90275

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1730869454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30310 RANCHO VIEJO RD",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751576",
            "fax_number": "949-579-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 SILVER SPUR RD STE 202",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902753571",
            "telephone_number": "833-589-5150",
            "fax_number": "949-579-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION PREP HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "FARBMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "949-301-2863"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.