NPIMap

Organization Active NPI

Paradigm Treatment Centers, LLC

  • Psychiatric Residential Treatment Facility
  • San Rafael, CA
National Provider Identifier
1992345284
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
PARADIGM TREATMENT CENTERS, LLC
Practice address
53 Dunfries Ter
San Rafael, CA 94901-2415
Phone
(415) 785-4452
NPI assigned
Jan 14, 2020
Organization subpart
Yes
Parent organization
PARADIGM TREATMENT CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Mr. Ron Raglin
Title
Director of RCM
Phone
(310) 457-6300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

53 Dunfries Ter
San Rafael, CA 94901-2415

Mailing address

12424 Wilshire Blvd Ste 750
Los Angeles, CA 90025-1079
Phone (310) 457-6300

Other practice location 1

366 Margarita Dr
San Rafael, CA 94901-2330
Phone (415) 524-8045

Other names 2

  • Paradigm Malibu Doing business as
  • Paradigm San Francisco Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paradigm San Francisco Seaview House11 organizations share this tax ID, including this one
Part of
Paradigm San Francisco Seaview House

Other organizations with this tax ID 10

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

Locations

12424 Wilshire Blvd
Ste 750
Los Angeles, CA 90025

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1992345284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12424 WILSHIRE BLVD STE 750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251079",
            "telephone_number": "310-457-6300",
            "fax_number": "310-457-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 DUNFRIES TER",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012415",
            "telephone_number": "415-785-4452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 Margarita Dr",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012330",
            "country_code": "US",
            "telephone_number": "415-524-8045",
            "fax_number": "415-524-8055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARADIGM TREATMENT CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARADIGM TREATMENT CENTERS, LLC",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "RAGLIN",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "310-457-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm Malibu",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paradigm San Francisco",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paradigm San Francisco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.