Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pavillion Healthcare Services

Q: What type of organization is Pavillion Healthcare Services?

Pavillion Healthcare Services is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).

Community/Behavioral Health Agency in Carson, CA · enumerated 2007 · authorized official Martin Okon, Program Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124163100

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Registry record

Entity type Organization (Type 2)

Legal business name Pavillion Healthcare Services

Practice address 20930 Bonita St, Suite Y, Carson, CA, 90746

Phone (310) 532-3464

Enumeration date Feb 20, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies · License 59793A (CA) Primary

Authorized official

Name Martin Okon

Title Program Director

Phone (310) 532-3464

Other identifiers

Identifier	Type	State	Issuer
7163	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Pavillion Healthcare Services?

Pavillion Healthcare Services is registered in NPPES as a Community/Behavioral Health Agency (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.