Active NPI
La Vid Corporation
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rancho Cucamonga, CA
National Provider Identifier
1740852763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LA VID CORPORATION
- Practice address
- 8273 White Oak Ave Ste B
Rancho Cucamonga, CA 91730-7671 - Phone
- (909) 631-5768
- NPI assigned
- Jul 12, 2021
- Organization subpart
- Yes
- Parent organization
- TREE OF LIFE COUNSELING AND DEVELOPMENT CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Arlyn Mendoza, LMFT
- Title
- President
- Phone
- (909) 631-5768
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
8273 White Oak Ave Ste B
Rancho Cucamonga, CA 91730-7671
Mailing address
523 W Elm St
Ontario, CA 91762-5712
National Provider Directory
National Provider Directory- Part of
- La Vid Corporation
Locations
8273 White Oak Ave
Ste B
Rancho Cucamonga, CA 91730
Phone (909) 631-5768
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Riverside, CA
- NPI 1619383999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626048000000",
"number": "1740852763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 W ELM ST",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917625712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8273 WHITE OAK AVE STE B",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307671",
"telephone_number": "909-631-5768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA VID CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TREE OF LIFE COUNSELING AND DEVELOPMENT CENTER",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A",
"authorized_official_last_name": "MENDOZA",
"authorized_official_first_name": "ARLYN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-631-5768",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"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": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.