Active NPI
Just US 4 Youth
- Addiction (Substance Use Disorder) Counselor
- Pomona, CA
National Provider Identifier
1932853363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- JUST US 4 YOUTH
- Practice address
- 158 W 3Rd St
Pomona, CA 91766-1742 - Phone
- (909) 784-5787
- NPI assigned
- Feb 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Hudak
- Title
- Director of Operations
- Phone
- (562) 322-7240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
158 W 3Rd St
Pomona, CA 91766-1742
Mailing address
158 W 3Rd St
Pomona, CA 91766-1742
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Laptop | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
158 W 3rd St
Pomona, CA 91766
Phone (909) 784-5787
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Fullerton, CA
- NPI 1548726938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643932800000",
"number": "1932853363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 W 3RD ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917661742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 W 3RD ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917661742",
"telephone_number": "909-784-5787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST US 4 YOUTH",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A",
"authorized_official_last_name": "HUDAK",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "562-322-7240"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Laptop",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "158 W 3rd St",
"city": "Pomona",
"state": "CA",
"country_code": "US",
"postal_code": "917661742",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.