NPIMap

Organization Active NPI

Five Acres- the Boys' and Girls' Aid Society of Los Angeles County

  • Community/Behavioral Health Agency
  • Pasadena, CA
National Provider Identifier
1972053726
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY
Practice address
1236 Solita Rd
Pasadena, CA 91103-2452
Phone
(626) 798-6793
Fax
(626) 792-7722
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Shaulon Shanklin
Title
Director of Claims Operations
Phone
(626) 798-6793

Specialties & licenses 1

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

Addresses

Primary practice location

1236 Solita Rd
Pasadena, CA 91103-2452

Mailing address

760 W. Mountain View St
Altadena, CA 91001-4925
Phone (626) 798-6793

Other names 1

  • Five Acres Other name

National Provider Directory

National Provider Directory
Tax ID family
Five Acres- the Boys' and Girls' Aid Society of Los Angeles County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1972053726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 W. MOUNTAIN VIEW ST",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014925",
            "telephone_number": "626-798-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 SOLITA RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032452",
            "telephone_number": "626-798-6793",
            "fax_number": "626-792-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE ACRES- THE BOYS' AND GIRLS' AID SOCIETY OF LOS ANGELES COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "SHANKLIN",
        "authorized_official_first_name": "SHAULON",
        "authorized_official_title_or_position": "DIRECTOR OF CLAIMS OPERATIONS",
        "authorized_official_telephone_number": "626-798-6793"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Acres",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.