NPIMap

Organization Active NPI

Pacific Lodge Youth Services, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Canoga Park, CA
National Provider Identifier
1942506860
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
PACIFIC LODGE YOUTH SERVICES, INC
Practice address
22030 Sherman Way Ste 215
Canoga Park, CA 91303-1883
Phone
(818) 347-1577
NPI assigned
Feb 10, 2011
Organization subpart
Yes
Parent organization
PACIFIC LODGE YOUTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Mrs. Lisa E Alegria
Title
President Ceo
Phone
(818) 657-3104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

22030 Sherman Way Ste 215
Canoga Park, CA 91303-1883

Mailing address

22030 Sherman Way Ste 215
Canoga Park, CA 91303-1883
Phone (818) 347-1577

National Provider Directory

National Provider Directory
Tax ID family
Pacific Lodge Youth Services Inc2 organizations share this tax ID, including this one
Part of
Pacific Lodge Youth Services Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1942506860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY STE 215",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031883",
            "telephone_number": "818-347-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22030 SHERMAN WAY STE 215",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031883",
            "telephone_number": "818-347-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC LODGE YOUTH SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC LODGE YOUTH SERVICES",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "ALEGRIA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "818-657-3104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.