NPIMap

Organization Active NPI

Easter Seals Southern California, Inc

  • Behavior Analyst
  • Brea, CA
National Provider Identifier
1740573690
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
EASTER SEALS SOUTHERN CALIFORNIA, INC
Practice address
500 W Central Ave
Ste a
Brea, CA 92821-3027
Phone
(714) 834-1111
Fax
(714) 834-1128
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Susan Berglund
Title
Cfo
Phone
(714) 834-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

500 W Central Ave
Ste a
Brea, CA 92821-3027

Mailing address

1801 E Edinger Ave
Ste 190
Santa Ana, CA 92705-4754
Phone (714) 834-1111

National Provider Directory

National Provider Directory
Tax ID family
Easter Seals Southern California Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

500 W Central Ave
Ste A
Brea, CA 92821

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1740573690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E EDINGER AVE",
            "address_2": "STE 190",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054754",
            "telephone_number": "714-834-1111",
            "fax_number": "714-834-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CENTRAL AVE",
            "address_2": "STE A",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213027",
            "telephone_number": "714-834-1111",
            "fax_number": "714-834-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS SOUTHERN CALIFORNIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "BERGLUND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-834-1111"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.