NPIMap

Organization Active NPI

Avalon Outpatient Services

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Wilmington, CA
National Provider Identifier
1760002299
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
AVALON OUTPATIENT SERVICES
Practice address
1547 N Avalon Blvd
Wilmington, CA 90744-1552
Phone
(424) 477-5334
Fax
(562) 324-6274
NPI assigned
Apr 24, 2020
Last updated
Apr 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Mark Scott, LAADC-CA
Title
Admin Asst
Phone
(562) 980-6639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X NU Primary

Addresses

Primary practice location

1547 N Avalon Blvd
Wilmington, CA 90744-1552

Mailing address

1547 N Avalon Blvd
Wilmington, CA 90744-1552
Phone (424) 477-5334

National Provider Directory

National Provider Directory
Tax ID family
Amg Care Figueroa LLC3 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

1547 N Avalon Blvd
Wilmington, CA 90744
Phone (424) 364-0666

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1760002299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441552",
            "telephone_number": "424-477-5334",
            "fax_number": "562-324-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441552",
            "telephone_number": "424-477-5334",
            "fax_number": "562-324-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "562-980-6639",
        "authorized_official_credential": "LAADC-CA"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.