| Hillview Mhc Outpatient | |
|
12450 Van Nuys Blvd Suite 200 Pacoima CA 91331-1391 | |
| (818) 896-1161 | |
| (818) 896-5069 |
| Full Name | Hillview Mhc Outpatient |
|---|---|
| Speciality | Clinic/Center |
| Location | 12450 Van Nuys Blvd, Pacoima, California |
| Authorized Official Name and Position | Julie E Jones (EXECUTIVE VP/CFO) |
| Authorized Official Contact | 8188961161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillview Mhc Outpatient 12450 Van Nuys Blvd Suite 200 Pacoima CA 91331-1391 Ph: (818) 896-1161 | Hillview Mhc Outpatient 12450 Van Nuys Blvd Suite 200 Pacoima CA 91331-1391 Ph: (818) 896-1161 |
| NPI Number | 1225073786 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 5597869933 |
|---|---|
| Medicare Enrollment ID | O20070324000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225073786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (California) | Primary |
| Provider Name | Konstantinos Tripodis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588698534 PECOS PAC ID: 1850299553 Enrollment ID: I20031219000292 |
| Provider Name | Armen Azatian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578670964 PECOS PAC ID: 1658390455 Enrollment ID: I20051121000901 |
| Provider Name | Julio A Montano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356360226 PECOS PAC ID: 3375647746 Enrollment ID: I20070326000258 |
| Provider Name | Maria Longhitano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881612281 PECOS PAC ID: 8123122496 Enrollment ID: I20070326000325 |
| Provider Name | Jack Rothberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043326911 PECOS PAC ID: 7113025024 Enrollment ID: I20070530000605 |
| Provider Name | Aileen Garibyan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992848485 PECOS PAC ID: 6709911555 Enrollment ID: I20100318000043 |
| Provider Name | Oleg Liflyandsky |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386682763 PECOS PAC ID: 9931224441 Enrollment ID: I20100921000116 |
| Provider Name | Jennifer I Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366872582 PECOS PAC ID: 5698012839 Enrollment ID: I20190128000177 |
| Provider Name | Nkechi Akpati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558871020 PECOS PAC ID: 0143567818 Enrollment ID: I20190204001531 |
| Provider Name | Farooque Azam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689203093 PECOS PAC ID: 0941627988 Enrollment ID: I20200904001152 |
| Provider Name | Ijeoma C Okpara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659716389 PECOS PAC ID: 5294143301 Enrollment ID: I20210408002822 |
| Provider Name | David R Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689833113 PECOS PAC ID: 1557737582 Enrollment ID: I20221017002242 |
Hillview Mhc Outpatient Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12408 Van Nuys Blvd, Building D, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069 | |
Sycamores Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Suite 100, Pacoima, CA 91331 Phone: 818-896-8366 Fax: 818-896-8392 | |
Valley Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11300 Glenoaks Blvd, Pacoima, CA 91331 Phone: 818-588-3820 | |
Hillview Mhc Adult Residential Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12408 Van Nuys Blvd, Building C, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069 | |
Sycamores Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12510 Van Nuys Blvd, Ste. 201, Pacoima, CA 91331 Phone: 818-896-2255 | |
Hathaway-sycamores Child And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331 Phone: 818-660-7858 |