Organization Active NPI

Lionrock Behavioral Health Medical Services PC

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1932978129
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIONROCK BEHAVIORAL HEALTH MEDICAL SERVICES PC
Practice address
2029 Century Park East Suite 400
Office #86
Los Angeles, CA 90067-2905
Phone
(760) 994-4990
Fax
(866) 899-8670
NPI assigned
Dec 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Authorized official

Name
Iain Crabb
Title
Cfo/Coo
Phone
(760) 994-4990

Specialties & licenses 1

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

Addresses

Primary practice location

2029 Century Park East Suite 400
Office #86
Los Angeles, CA 90067-2905

Mailing address

911 Lakeville St # 322
Petaluma, CA 94952-3329
Phone (760) 994-4990

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.

NPI Registry JSON

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

{
    "created_epoch": "1703721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1932978129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LAKEVILLE ST # 322",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523329",
            "telephone_number": "760-994-4990",
            "fax_number": "866-899-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 CENTURY PARK EAST SUITE 400",
            "address_2": "OFFICE #86",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672905",
            "telephone_number": "760-994-4990",
            "fax_number": "866-899-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONROCK BEHAVIORAL HEALTH MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-28",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "CRABB",
        "authorized_official_first_name": "IAIN",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "760-994-4990"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.