OrganizationActive
Pavillion Healthcare Services
NPI 1124163100 · Community/Behavioral Health Agency · Carson, CA
Pavillion Healthcare Services is a Community/Behavioral Health Agency organization in Carson, CA (NPI 1124163100).
Provider details
- NPI number
- 1124163100
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Martin Okon, Program Director(310) 532-3464
- License
- 59793A (CA)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20930 Bonita St
Suite Y
Carson, CA 90746-3680
Phone: (310) 532-3464
Street-level locationGet directions
Mailing address
20930 Bonita St
Carson, CA 90746-3680
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Pavillion Healthcare Services's NPI number?
- Pavillion Healthcare Services's National Provider Identifier (NPI) is 1124163100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pavillion Healthcare Services?
- Pavillion Healthcare Services is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Pavillion Healthcare Services located?
- Pavillion Healthcare Services's practice location on file with NPPES is 20930 Bonita St, Carson, CA 90746-3680.
- What is Pavillion Healthcare Services's phone number?
- The practice phone number listed in the NPPES registry for Pavillion Healthcare Services is (310) 532-3464.
- Who is the authorized official for Pavillion Healthcare Services?
- The authorized official listed on Pavillion Healthcare Services's NPPES record is Martin Okon, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pavillion Healthcare Services's NPI active?
- Yes — Pavillion Healthcare Services's NPI (1124163100) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.