BETHANY CHRISTIAN SERVICES OF SOUNTHERN CA (NPI# 1720520513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720520513 |
| Entity Type | Organization |
| Organization Name | BETHANY CHRISTIAN SERVICES OF SOUNTHERN CA |
| Practice Address |
4001 Mission Oaks Blvd Suite T & K Camarillo CA 93012-5121 |
| Mailing Address |
16700 Valley View Ave Suite 210 La Mirada CA 90638-5830 |
| Practice Telephone | 8054822423 |
| Mailing Telephone | 7149940500 |
| Mailing Fax Number | 7149940515 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | JEFFREY PAUL CARLSON (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 7149940500 |
| Authorized Official Credential | MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | 197804198 | CA | Agencies |
| Street Address |
4001 MISSION OAKS BLVD SUITE T & K |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93012-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962561175 | Laura Linda Gutierrez Woolridge | Social Worker | 4001 Mission Oaks Blvd, Suite I, Camarillo, CA 93012-5121 | 2006-12-06 |
| 1679013114 | Anna Rook-del Rosario | Marriage & Family Therapist | 4001 Mission Oaks Blvd, Suite I, Camarillo, CA 93012-5121 | 2017-03-02 |
| 1194261891 | David Bautista | Marriage & Family Therapist | 4001 Mission Oaks Blvd, I, Camarillo, CA 93012-5121 | 2017-01-18 |
| 1952859449 | Karina Ojeda | Counselor | 4001 Mission Oaks Blvd, Camarillo, CA 93065 | 2016-09-14 |
| 1669929402 | Marcella Ramos | Counselor | 4001 Mission Oaks Blvd, Suite I, Camarillo, CA 93012-5121 | 2016-09-09 |
| 1154772242 | Rene Vazquez | Counselor | 4001 Mission Oaks Blvd, Camarillo, CA 93012-5121 | 2016-06-29 |
| 1962899419 | Kids and Families Together - Administrative Offices | Community/Behavioral Health | 4001 Mission Oaks Blvd, Suite P, Camarillo, CA 93012-5121 | 2015-04-22 |
| 1043615198 | Amelia L Mora Mars | Counselor | 4001 Mission Oaks Blvd, Suite I, Camarillo, CA 93012-5121 | 2014-10-31 |
| 1902223183 | Ada Andrade | Marriage & Family Therapist | 4001 Mission Oaks Blvd, Suite I, Camarillo, CA 93012-5121 | 2014-03-25 |
| 1548476724 | Interface Children Family Services | Community/Behavioral Health | 4001 Mission Oaks Blvd, Camarillo, CA 93012-5121 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322895 | Natasha Nichole Johnson | Licensed Vocational Nurse | 1750 A S Lewis Rs, Camarillo, CA 93012 | 2020-06-26 |
| 1609392604 | Dain Emmanuel Acevedo | Counselor | 5284 Adolfo Road Suite 100, Camarillo, CA 93012 | 2017-08-21 |
| 1679093751 | Emily Sophia Rodriguez | Counselor | 5284 Adolfo Rd. Suite 100, Camarillo, CA 93012 | 2017-06-21 |
| 1164952750 | Valerie Marie Inez Rivera | Counselor | 5284 Adolfo Rd #100, Camarillo, CA 93012 | 2017-06-15 |
| 1457890709 | Constance Walsh | Prosthetic/Orthotic Supplier | 795 Camarillo Springs Rd, Suite C, Carmarillo, CA 93012 | 2017-02-20 |
| 1902349020 | Ferdinand Fortune Cuico | Registered Nurse | 421 Brister Park Ct, Camarillo, CA 93012 | 2016-11-21 |
| 1699226795 | Lauren Streiter | Counselor | 1750b S Lewis Rd, Camarillo, CA 93012 | 2016-10-24 |
| 1972955649 | Evolve Growth Initiatives, LLC | Community Based Residential Treatment Facility, Mental Illness | 799 Camarillo Springs Road, Ventura, CA 93012 | 2016-07-06 |
| 1083075089 | Justin Rodriguez Urbano | Dental Hygienist | 4422 Corte Arbusto, Camarillo, CA 93012 | 2016-03-18 |
| 1578924619 | Leslie Winn | Counselor | 291 Camino Leon, Camarillo, CA 93012 | 2016-03-17 |
| Find all providers in zip 93012 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110088 | Wynspring Family Resource Center | Foster Care Agency | 2211 Park Towne Cir Ste 4, Sacramento, CA 95825-0414 | 2020-09-23 |
| 1285256438 | Latino Family Institute, Inc. | Foster Care Agency | 1501 W Cameron Ave Ste 240, West Covina, CA 91790-2733 | 2020-05-11 |
| 1356984264 | Garces Residential Care Services | Foster Care Agency | 7349 Milliken Ave # 140-223, Rancho Cucamonga, CA 91730-7435 | 2019-10-23 |
| 1265086094 | The Heart Matters Foster Family Agency | Foster Care Agency | 21935 Van Buren St Ste B-7, Grand Terrace, CA 92313-5652 | 2019-07-30 |
| 1346892072 | Nalcs | Foster Care Agency | 439 N Maclay Ave, San Fernando, CA 91340-2416 | 2019-07-12 |
| 1477105104 | Nalcs | Foster Care Agency | 1085 W Badillo St, Covina, CA 91722-4112 | 2019-07-12 |
| 1407408131 | Nalcs | Foster Care Agency | 322 W Katella Ave Ste 5-b, Orange, CA 92867-4759 | 2019-07-12 |
| 1316508542 | Nalcs | Foster Care Agency | 5400 Pomona Blvd, Los Angeles, CA 90022-1717 | 2019-06-27 |
| 1427519784 | Wayfinder Family Services | Foster Care Agency | 1045 Bonita Ave, La Verne, CA 91750-5109 | 2019-03-28 |
| 1437617784 | Koinonia Foster Homes, Inc. | Foster Care Agency | 6331 King Rd, Loomis, CA 95650-8801 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BETHANY CHRISTIAN SERVICES OF SOUNTHERN CA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.