Healthcare Provider Details

I. General information

NPI: 1710658216
Provider Name (Legal Business Name): THE CATALYST FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 W LANCASTER BLVD STE 105
LANCASTER CA
93534-2573
US

IV. Provider business mailing address

540 W LANCASTER BLVD STE 101A
LANCASTER CA
93534-2544
US

V. Phone/Fax

Practice location:
  • Phone: 661-948-8559
  • Fax:
Mailing address:
  • Phone: 661-948-8559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISA SIMMONS
Title or Position: THE CATALYST FOUNDATION
Credential:
Phone: 661-948-8559