NPIMap

Organization Active NPI

Hillsides

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Commerce, CA
National Provider Identifier
1972047165
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HILLSIDES
Practice address
5400 E. Olympic Blvd Suite 100
Commerce, CA 90022-5190
Phone
(213) 785-5906
Fax
(213) 785-5928
NPI assigned
Dec 7, 2016
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
HILLSIDESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Marisol M LaraNPI 1912336447
Title
Qa Manager Administrator
Phone
(323) 254-2274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

5400 E. Olympic Blvd Suite 100
Commerce, CA 90022-5190

Mailing address

5400 E. Olympic Blvd Suite 100
Commerce, CA 90022-5190
Phone (213) 785-5906

Other names 1

  • Bienvenidos Family Resource Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Hillsides9 organizations share this tax ID, including this one
Part of
Hillsides

Other organizations with this tax ID 8

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

  • Hillsides
    • Adolescent and Children Mental Health Clinic/Center
    • Irwindale, CA
    • NPI 1083158810
    NPD tax ID
  • Hillsides
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Palmdale, CA
    • NPI 1285289801
    NPD tax ID
  • Hillsides
    • Substance Use Disorder Rehabilitation Clinic/Center
    • Pasadena, CA
    • NPI 1386463099
    NPD tax ID
  • Hillsides
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Pasadena, CA
    • NPI 1477023265
    NPD tax ID
  • Hillsides
    • Community/Behavioral Health Agency
    • Los Angeles, CA
    • NPI 1619217841
    NPD tax ID
  • Hillsides
    • Mental Illness Community Based Residential Treatment Facility
    • Pasadena, CA
    • NPI 1639613821
    NPD tax ID
  • Hillsides
    • Community/Behavioral Health Agency
    • Pomona, CA
    • NPI 1700270188
    NPD tax ID
  • Hillsides
    • Community/Behavioral Health Agency
    • Los Angeles, CA
    • NPI 1720707987
    NPD tax ID

Locations

5400 E Olympic Blvd
Ste 100
Commerce, CA 90022
Phone (213) 785-5906

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": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1972047165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 E. OLYMPIC BLVD SUITE 100",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225190",
            "telephone_number": "213-785-5906",
            "fax_number": "213-785-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 E. OLYMPIC BLVD SUITE 100",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225190",
            "telephone_number": "213-785-5906",
            "fax_number": "213-785-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLSIDES",
        "enumeration_date": "2016-12-07",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "QA MANAGER ADMINISTRATOR",
        "authorized_official_telephone_number": "323-254-2274"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bienvenidos Family Resource Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.