MEDICARE: FOSTERALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1386596187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOSTERALL

Provider Business Mailing Address
First Line	:	1544 W GLENOAKS BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1944
Country	:	US
Telephone Number	:	818-649-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1544 W GLENOAKS BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1944
Country	:	US
Telephone Number	:	818-649-8000
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	BILL TANNEHILL
Credential	:
Telephone Number	:	818-649-8009

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/20/2026

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Directions to “FOSTERALL ” Practice Location

Language	Start Address	Practice Location

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