Vernon Holm

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

VERNON HOLM

Practice address

659 E Walnut St
Pasadena, CA 91101-1635

Phone

(626) 844-0410

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Vernon Albert Holm, CADDTP # 1367NPI 1235441510

Title

Alcohol Or Other Drug Counselor

Phone

(909) 592-6897

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vernon Albert Holm

  • Addiction (Substance Use Disorder) Counselor
  • San Dimas, CA
  • NPI 1235441510
  NPD (past) Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1821263922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W 2ND ST",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732029",
            "telephone_number": "909-592-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 E WALNUT ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011635",
            "telephone_number": "626-844-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON HOLM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "ALCOHOL OR OTHER DRUG COUNSELOR",
        "authorized_official_telephone_number": "909-592-6897",
        "authorized_official_credential": "CADDTP # 1367"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ma. Cecilia Alonzo Verceles
• Marie Verdin
• Verdugo Hills Visiting Nurse Association
• Verdugo Hills Visiting Nurses Association
• Swarnendra Verma, M.D.
• Lisa Marian Vernon, MFT
• Paula Marie Verrette, MD
• Vertex Home Health Care, Inc.
• Vertex Hospice and Palliative Care
• Tommy VI

• Substance Abuse Rehabilitation Facility in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.