NPIMap

Organization Active NPI

Optimist Boys' Home and Ranch, Inc.

  • Community/Behavioral Health Agency
  • Palmdale, CA
National Provider Identifier
1871622498
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OPTIMIST BOYS' HOME AND RANCH, INC.
Practice address
41307 12TH St W Ste 105
Palmdale, CA 93551-1454
Phone
(323) 443-3175
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Ms. Blythe Cotton Maling
Title
Chief Executive Officer
Phone
(323) 443-3101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

41307 12TH St W Ste 105
Palmdale, CA 93551-1454

Mailing address

6957 N Figueroa St
Los Angeles, CA 90042-1245
Phone (323) 443-3175

Other identifiers 1

IdentifierTypeStateIssuer
00781OtherCAMEDI-CAL PROVIDER

Other names 1

  • Optimist Palmdale Other name

National Provider Directory

National Provider Directory
Tax ID family
Optimist Boys' Home and Ranch Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

520 W Palmdale Blvd
Ste Defg
Palmdale, CA 93551

41307 12th St W
Ste 105
Palmdale, CA 93551
Phone (323) 493-6486

41307 12th St W
Ste 105201
Palmdale, CA 93551

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1871622498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6957 N FIGUEROA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421245",
            "telephone_number": "323-443-3175",
            "fax_number": "323-344-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41307 12TH ST W STE 105",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935511454",
            "telephone_number": "323-443-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIST BOYS' HOME AND RANCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "MALING",
        "authorized_official_first_name": "BLYTHE",
        "authorized_official_middle_name": "COTTON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-443-3101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER",
            "identifier": "00781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimist Palmdale",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Optimist Palmdale",
            "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 Jul 8, 2026; 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.