Organization Active NPI

La Vid Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rancho Cucamonga, CA
National Provider Identifier
1740852763
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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 CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Arlyn Mendoza, LMFTNPI 1619383999
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)CodeLicenseStatePrimary
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.

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.

Verify at the official NPI Registry.