Organization Active NPI

Mountain Oak Comprehensive Care P.C.

  • Mental Illness Community Based Residential Treatment Facility
  • La Selva Beach, CA
National Provider Identifier
1992098628
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MOUNTAIN OAK COMPREHENSIVE CARE P.C.
Practice address
9 Marea Ave # C
La Selva Beach, CA 95076-1726
Phone
(408) 370-6147
Fax
(408) 370-6196
NPI assigned
May 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Dr. Rebecca A. Powers, M.D.
Title
President
Phone
(408) 370-6147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

9 Marea Ave # C
La Selva Beach, CA 95076-1726

Mailing address

51 E Campbell Ave Ste 170
Campbell, CA 95008-2001
Phone (408) 370-6147

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1992098628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E CAMPBELL AVE STE 170",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082001",
            "telephone_number": "408-370-6147",
            "fax_number": "408-370-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAREA AVE # C",
            "city": "LA SELVA BEACH",
            "state": "CA",
            "postal_code": "950761726",
            "telephone_number": "408-370-6147",
            "fax_number": "408-370-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN OAK COMPREHENSIVE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-370-6147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Selva Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.