Healthcare Provider Details

I. General information

NPI: 1437294618
Provider Name (Legal Business Name): PATHWAYS COMMUNITY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 N TUSTIN AVE STE 225
SANTA ANA CA
92705-8688
US

IV. Provider business mailing address

8337 TELEGRAPH RD STE 300
PICO RIVERA CA
90660-4957
US

V. Phone/Fax

Practice location:
  • Phone: 714-221-6400
  • Fax: 714-221-6401
Mailing address:
  • Phone: 562-467-5440
  • Fax: 562-467-5553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: TRACY GINTER
Title or Position: DIRECTOR OF STATE OPERATIONS
Credential: MBA, CBCS
Phone: 657-465-9497