Organization Active NPI

Five Acres- the Boys' and Girls' Aid Society of Los Angeles County

  • Community/Behavioral Health Agency
  • West Covina, CA
National Provider Identifier
1750408241
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY
Practice address
2934 E Garvey Ave S Ste 100a
West Covina, CA 91791-2190
Phone
(626) 798-6793
Fax
(626) 214-0303
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Shaulon Shanklin
Title
Director of Claims Operations
Phone
(626) 798-6793

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2934 E Garvey Ave S Ste 100a
West Covina, CA 91791-2190

Mailing address

760 W. Mountain View St
Altadena, CA 91001-4925
Phone (626) 798-6793

Other names 1

  • Five Acres Other name

National Provider Directory

National Provider Directory

Locations

2934 E Garvey Ave S
Ste 100A102
West Covina, CA 91791
Phone (626) 214-0301

2934 E Garvey Ave S
Ste 100A
West Covina, CA 91791

2934 E Garvey Ave S
Ste 100A102242
West Covina, CA 91791

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1750408241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W. MOUNTAIN VIEW ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014925",
            "telephone_number": "626-798-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 E GARVEY AVE S STE 100A",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917912190",
            "telephone_number": "626-798-6793",
            "fax_number": "626-214-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "SHANKLIN",
        "authorized_official_first_name": "SHAULON",
        "authorized_official_title_or_position": "DIRECTOR OF CLAIMS OPERATIONS",
        "authorized_official_telephone_number": "626-798-6793"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Acres",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.