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PAVILLION HEALTHCARE SERVICES
NPI 1124163100
Community/Behavioral Health in Carson, CA

Active since February 20, 2007
20930 BONITA ST, SUITE Y, CARSON, CA 90746(310) 532-3464 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pavillion Healthcare Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVILLION HEALTHCARE SERVICES (NPI 1124163100) is a healthcare organization registered as a community/behavioral health in Carson, California and active in the NPI registry since February 2007. The organization lists Martin Okon, Program Director, as its authorized official.

NPPES Registry Identity

NPI1124163100
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePAVILLION HEALTHCARE SERVICES
Location Address20930 BONITA ST, SUITE YCarson, CA 90746-3680
Mailing Address20930 Bonita St, Suite YCarson, CA 90746-3680 · (310) 532-3464
Phone(310) 532-3464
Organization SubpartNo
Authorized OfficialMartin OkonProgram Director · (310) 532-3464
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124163100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CA · 59793A
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
20930 BONITA ST, Carson, CA 90746
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Other Identifiers 1

Medicaid7163CA

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARTIN OKON
Counselor (Addiction (Substance Use Disorder))
20930 BONITA ST, SUTE Y
CARSON, CA 90746
Los Angeles County (310) 532-3464
DOMINGUEZ HILLS DENTAL GROUP
Dentist (General Practice)
20930 BONITA ST, SUITE T
CARSON, CA 90746
Los Angeles County (310) 515-1490
DR. ANTHONY DUNCAN DDS
Dentist (General Practice)
20930 BONITA ST, SUITE T
CARSON, CA 90746
Los Angeles County (310) 515-1490
CAPPIE BAKER
Dentist (Orthodontics and Dentofacial Orthopedics)
20930 BONITA ST, SUITE X
CARSON, CA 90746
Los Angeles County (310) 523-2161
CAPPIE BAKER, DDS, MS, A PROFESSIONAL CORPORATION
Dentist (Orthodontics and Dentofacial Orthopedics)
20930 BONITA ST, SUITE X
CARSON, CA 90746
Los Angeles County (310) 523-2161
SYLVERNUS EBIRIEKWE
Counselor (Addiction (Substance Use Disorder))
20930 BONITA ST, SUITE Y
CARSON, CA 90746
Los Angeles County (310) 532-3464
DALIA KARINA DEMARA HIGH SCHOOL DIPLOMA
Counselor (Addiction (Substance Use Disorder))
20930 BONITA ST, SUITE Y
CARSON, CA 90746
Los Angeles County (310) 532-3464
LENISE N. YARBER D.D.S , PROFESSIONAL DENTAL CORPORATION
Dentist (Pediatric Dentistry)
20930 BONITA ST, SUITE Y
CARSON, CA 90746
Los Angeles County (310) 327-7969

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pavillion Healthcare Services's NPI number?

The NPI number for Pavillion Healthcare Services is 1124163100. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Pavillion Healthcare Services located?

Pavillion Healthcare Services is located at 20930 Bonita St Suite Y, Carson, CA 90746. The listed phone number is (310) 532-3464.

What is Pavillion Healthcare Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Pavillion Healthcare Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.