NPIMap

Organization Active NPI

Pathways Community Services LLC

Doing business as CYS Clarvida - Fullerton

  • Community/Behavioral Health Agency
  • Fullerton, CA
National Provider Identifier
1881729911
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PATHWAYS COMMUNITY SERVICES LLC
Doing business as
CYS Clarvida - Fullerton
Practice address
1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205
Phone
(714) 254-8473
NPI assigned
Feb 22, 2007
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Tracy Ginter, MBA, CBCS
Title
Director of State Operations
Phone
(657) 465-9497

Specialties & licenses 1

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

Addresses

Primary practice location

1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205

Mailing address

8337 Telegraph Rd Ste 300
Pico Rivera, CA 90660-4957
Phone (562) 467-5440

Other practice location 1

711 E Ball Rd Ste 201
Anaheim, CA 92805-5925
Phone (714) 254-8473

Other practice location 2

711 E Ball Rd
Suite 201
Anaheim, CA 92805-5930
Phone (714) 254-8473

Other identifiers 1

IdentifierTypeStateIssuer
30BGOtherCAMEDI-CAL PROVIDER NUMBER

Other names 1

  • CYS Clarvida - Fullerton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110811000525 CA Part B Supplier - Clinic/Group Practice 9830368687 Receives reassigned benefits from 27 practitioners
14 other NPIs on this enrollment
Practice locations: Pico Rivera, CA; Tustin, CA; Santa Ana, CA; San Diego, CA; Lancaster, CA; Garden Grove, CA; Anaheim, CA

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pathways Community Services LLC18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272

Practitioners & affiliated clinicians

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1881729911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD STE 300",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604957",
            "telephone_number": "562-467-5440",
            "fax_number": "562-467-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E ORANGETHORPE AVE STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315205",
            "telephone_number": "714-254-8473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 E Ball Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928055925",
            "country_code": "US",
            "telephone_number": "714-254-8473",
            "fax_number": "714-254-8480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 E Ball Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928055930",
            "country_code": "US",
            "telephone_number": "714-254-8473",
            "fax_number": "714-254-8480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATHWAYS COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "GINTER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR OF STATE OPERATIONS",
        "authorized_official_telephone_number": "657-465-9497",
        "authorized_official_credential": "MBA, CBCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER NUMBER",
            "identifier": "30BG",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYS Clarvida - Fullerton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CYS Clarvida - Fullerton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.