NPIMap

Organization Active NPI

Eldorado Community Service Centers

  • Community/Behavioral Health Agency
  • Palmdale, CA
National Provider Identifier
1780093443
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
960001031 Issued in CA
Legal business name
ELDORADO COMMUNITY SERVICE CENTERS
Practice address
2710 E Palmdale Blvd
Suite Number 129
Palmdale, CA 93550-4946
Phone
(661) 947-3333
Fax
(661) 575-2397
NPI assigned
Aug 7, 2014
Last updated
Aug 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Stan Sharma
Title
Director/Ceo
Phone
(661) 253-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 960001031 CA Primary

Addresses

Primary practice location

2710 E Palmdale Blvd
Suite Number 129
Palmdale, CA 93550-4946

Mailing address

26460 Summit Cir
Santa Clarita, CA 91350-2991
Phone (661) 254-6630

Other names 1

  • American Health Services Other name

National Provider Directory

National Provider Directory
Tax ID family
Inglewood Mental HLTH12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2710 E Palmdale Blvd
#129
Palmdale, CA 93550
Phone (661) 947-3333

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1780093443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 SUMMIT CIR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502991",
            "telephone_number": "661-254-6630",
            "fax_number": "661-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 E PALMDALE BLVD",
            "address_2": "SUITE NUMBER 129",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935504946",
            "telephone_number": "661-947-3333",
            "fax_number": "661-575-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDORADO COMMUNITY SERVICE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "661-253-6630"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "960001031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.