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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.