Provider Demographics
NPI:1962568246
Name:COMPASSION ON CALL
Entity type:Organization
Organization Name:COMPASSION ON CALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAMARIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ-WARKENTIEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MFT
Authorized Official - Phone:818-264-6284
Mailing Address - Street 1:PO BOX 4124
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91359-1124
Mailing Address - Country:US
Mailing Address - Phone:818-264-6284
Mailing Address - Fax:
Practice Address - Street 1:31125 VIA COLINAS STE 902
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3969
Practice Address - Country:US
Practice Address - Phone:818-264-6284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42556106H00000X
CA443269163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Multi-Specialty