Organization Active NPI

Serve California LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rancho Santa Margarita, CA
National Provider Identifier
1912754110
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SERVE CALIFORNIA LLC
Practice address
62 Via Pamplona
Rancho Santa Margarita, CA 92688-2339
Phone
(562) 631-1104
NPI assigned
May 4, 2024
Last updated
Jan 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Ms. La Fawn Lorraine Brito
Title
Executive Director
Phone
(562) 631-1104

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU

Addresses

Primary practice location

62 Via Pamplona
Rancho Santa Margarita, CA 92688-2339

Mailing address

62 Via Pamplona
Rancho Santa Margarita, CA 92688-2339
Phone (562) 631-1104

Other names 1

  • CONTEMPORARY RESULTS FOR VETERANS Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250619002425 CA Part B Supplier - Clinic/Group Practice 8921519513 Receives reassigned benefits from 1 practitioner
Practice locations: Gardena, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1912754110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 VIA PAMPLONA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882339",
            "telephone_number": "562-631-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 VIA PAMPLONA",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882339",
            "telephone_number": "562-631-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVE CALIFORNIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "BRITO",
        "authorized_official_first_name": "LA FAWN",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-631-1104",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONTEMPORARY RESULTS FOR VETERANS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.