California Mental Health Connection

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

198601281 Issued in CA

Legal business name

CALIFORNIA MENTAL HEALTH CONNECTION

Practice address

2217 Calle Parral
West Covina, CA 91792-2182

Phone

(626) 430-0474

Fax

(626) 430-0474

NPI assigned

Jan 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Vahe A Hakimian, ADMINISTRATOR

Title

Administrator

Phone

(626) 203-1449

Specialties & licenses 3

Addresses

Tax ID family

California Mental Health Connection2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• California Mental Health Connection

  • Mental Illness Community Based Residential Treatment Facility
  • West Covina, CA
  • NPI 1558672360
  NPD tax ID

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1982935565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917901227",
            "telephone_number": "626-430-0474",
            "fax_number": "626-430-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 CALLE PARRAL",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922182",
            "telephone_number": "626-430-0474",
            "fax_number": "626-430-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA MENTAL HEALTH CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "HAKIMIAN",
        "authorized_official_first_name": "VAHE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-203-1449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "198601281",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "198601281",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "198601281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• California Mental Health Connection
• California Mobile Doctors Group Inc
• Claudia Camacho
• Guillermo J Camacho, DDS
• Jessica Camarena
• Jazmine Camargo

• Mental Illness Community Based Residential Treatment Facility in West Covina, CA
• Providers in West Covina, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.