NPIMap

Organization Active NPI

Ca Ya Services LLC

Doing business as Newport Institute-Fernwood

  • Psychiatric Residential Treatment Facility
  • Shingle Springs, CA
National Provider Identifier
1902558984
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
CA YA SERVICES LLC
Doing business as
Newport Institute-Fernwood
Practice address
5841 Fernwood Dr
Shingle Springs, CA 95682-9760
Phone
(714) 202-5166
Fax
(844) 721-8190
NPI assigned
Jan 21, 2022
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Keith Thompson
Title
Chief Legal & Development Officer
Phone
(949) 432-4622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

5841 Fernwood Dr
Shingle Springs, CA 95682-9760

Mailing address

19200 Von Karman Ave Ste 500
Irvine, CA 92612-8513
Phone (714) 202-5166

Other names 1

  • Newport Institute-Fernwood Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2274422Newport Institute - Fernwood5841 Fernwood Dr, Shingle Springs, CA 95682Certificate of waiverJan 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Ca Ya Services LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

5841 Fernwood Dr
Shingle Springs, CA 95682

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1902558984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19200 VON KARMAN AVE STE 500",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128513",
            "telephone_number": "714-202-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 FERNWOOD DR",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956829760",
            "telephone_number": "714-202-5166",
            "fax_number": "844-721-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA YA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF LEGAL & DEVELOPMENT OFFICER",
        "authorized_official_telephone_number": "949-432-4622"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Institute-Fernwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Newport Institute-Fernwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shingle Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.