Healthcare Provider Details

I. General information

NPI: 1427263359
Provider Name (Legal Business Name): CITY IMPACT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 CAMINO DEL SOL STE 23RD
OXNARD CA
93030
US

IV. Provider business mailing address

1500 CAMINO DEL SOL STE 23
OXNARD CA
93030
US

V. Phone/Fax

Practice location:
  • Phone: 805-983-3636
  • Fax: 805-988-2240
Mailing address:
  • Phone: 805-983-3636
  • Fax: 805-988-2240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number56B1
License Number StateCA

VIII. Authorized Official

Name: CYNTHIA P. TORRES
Title or Position: EXECUTIVE DIRECTOR
Credential: LMFT
Phone: 805-983-3636