Pasa Alta Manor
NPI 1336426717 · Mental Illness Community Based Residential Treatment Facility · Pasadena, CA
Pasa Alta Manor is a Mental Illness Community Based Residential Treatment Facility organization in Pasadena, CA (NPI 1336426717).
Provider details
- NPI number
- 1336426717
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dewalt Brown, Ceo(626) 926-3519
- License
- 191222713 (CA)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 191204078 (CA)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 191222713 (CA)
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 197600074 (CA)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
Mailing address
Registry dates
- Enumerated
- 2011-11-14
- Last updated
- 2011-11-14
Frequently asked questions
- What is Pasa Alta Manor's NPI number?
- Pasa Alta Manor's National Provider Identifier (NPI) is 1336426717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pasa Alta Manor?
- Pasa Alta Manor is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Pasa Alta Manor located?
- Pasa Alta Manor's practice location on file with NPPES is 1790 N Fair Oaks Ave, Pasadena, CA 91103-1617.
- What is Pasa Alta Manor's phone number?
- The practice phone number listed in the NPPES registry for Pasa Alta Manor is (626) 798-6986.
- Who is the authorized official for Pasa Alta Manor?
- The authorized official listed on Pasa Alta Manor's NPPES record is Dewalt Brown, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pasa Alta Manor's NPI active?
- Yes — Pasa Alta Manor's NPI (1336426717) is active in the NPPES registry as of the last update on 2011-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.