SOCIAL MODEL RECOVERY SYSTEMS, INC. (NPI# 1124306386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124306386 |
| Entity Type | Organization |
| Organization Name | SOCIAL MODEL RECOVERY SYSTEMS, INC. |
| Practice Address |
453 S Indiana St Los Angeles CA 90063-3908 |
| Mailing Address |
223 E Rowland St Covina CA 91723-3147 |
| Practice Telephone | 3232667725 |
| Practice Fax Number | 3232667742 |
| Mailing Telephone | 6263323145 |
| Mailing Fax Number | 6269744164 |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2016-02-26 |
| Authorized Official Name | DAWN N DADES (SENIOR CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6263323145 |
| Authorized Official Credential | MA. MFT. |
| Is Organization Subpart | Y |
| Parent Organization Name | SOCIAL MODEL RECOVERY SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 190035CN | CA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487105813 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 3426 Cogswell Rd, El Monte, CA 91732-2785 | 2016-10-20 |
| 1164709895 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 17727 E Cypress St, Covina, CA 91722-2634 | 2011-11-09 |
| 1740469113 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4610 Santa Anita Ave Ste D, El Monte, CA 91731-1295 | 2007-11-01 |
| 1821126939 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2007-03-01 |
| 1497834089 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 223 E Rowland St, Covina, CA 91723-3147 | 2006-11-03 |
| 1851389993 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 155 Bimini Pl, Los Angeles, CA 90004-5902 | 2005-10-12 |
| 1922096072 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2005-10-12 |
| 1821086976 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 360 S Westlake Ave, Los Angeles, CA 90057-2906 | 2005-10-12 |
| 1295004224 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2011-12-20 |
| 1407134158 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 3430 Cogswell Rd, El Monte, CA 91732-2785 | 2011-07-29 |
| Street Address |
453 S INDIANA ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90063-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631163 | Corina C Ramos | Counselor | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2020-08-28 |
| 1538772850 | Jennifer Garcia | Counselor | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2020-08-26 |
| 1366076671 | Kim Lashley Paylor | Counselor | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2020-02-25 |
| 1215568506 | Vanessa Susana Tecontero | Counselor | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2020-01-27 |
| 1568925519 | Tencha Maria Espino | Counselor | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2019-04-08 |
| 1922565381 | Belen Pena | Counselor | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2019-02-21 |
| 1548725047 | Meka Nicole Moreno | Counselor | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2019-02-08 |
| 1487127346 | Dafna Rosenberg | Counselor | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2019-01-03 |
| 1922514215 | Amanda R Vasquez | Counselor | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2017-12-21 |
| 1285149732 | Stephanie Lee Smith | Counselor | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2017-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053772814 | Arturo Ibarra D.d.s. Inc | Dentist | 3604 East 1st Street, Los Angeles, CA 90063 | 2016-03-08 |
| 1528431046 | Caremore Health Plan | Nurse Practitioner | 3513 East 1st Street, Los Angeles, CA 90063 | 2015-11-05 |
| 1386082766 | Esteban E. Torres High School Clinic | Clinic/Center | 4127 East Cesar Chavez Avenue, Los Angeles, CA 90063 | 2013-06-07 |
| 1780925495 | Elena M Esparza | Chiropractor | 303 N Record Ave, Los Angeles, CA 90063 | 2013-03-05 |
| 1992068480 | Elvia Nevarez | Dental Assistant | 3217 Ganahl St., Los Angeles, CA 90063 | 2012-06-19 |
| 1922397736 | Lac Usc Medical Center | General Acute Care Hospital | 1334 Lotta Dr., Los Angeles, CA 90063 | 2011-04-01 |
| 1821398116 | Jaime Armando Martinez | Physician Assistant | 3612 1/2 East First Street, Los Angeles, CA 90063 | 2010-11-02 |
| 1811100548 | Albert Tarnier Touriel | General Practice | 105 So Rowan Ave, Los Angeles, CA 90063 | 2007-05-08 |
| 1871705376 | Jose Luis Perez Md Inc | General Practice | 3000 E 1st Streest, Los Angeles, CA 90063 | 2007-05-04 |
| 1962550525 | Anil Butala | Pharmacy | 3706 E Cesar Chavez Ave, Los Angeles, CA 90063 | 2007-01-08 |
| Find all providers in zip 90063 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
| 1396354577 | First Step Forward, Inc | Substance Abuse Rehabilitation Facility | 7523 S Western Ave, Los Angeles, CA 90047-2430 | 2020-07-23 |
| 1619598208 | Conquer Recovery Centers, Inc. | Substance Abuse Rehabilitation Facility | 1324 Keniston Ave, Los Angeles, CA 90019-1713 | 2020-05-05 |
| 1417595547 | Forward Recovery Solutions, LLC | Substance Abuse Rehabilitation Facility | 1428 Roxbury Dr, Los Angeles, CA 90035-2815 | 2019-12-19 |
| 1245878917 | Profound Treatment, LLC | Substance Abuse Rehabilitation Facility | 1990 Westwood Blvd Ste 305, Los Angeles, CA 90025-6596 | 2019-12-12 |
| 1245883594 | Vivian C Aranda | Substance Abuse Rehabilitation Facility | 4617 Zane St, Los Angeles, CA 90032-2039 | 2019-07-16 |
| 1770141764 | 310 Recovery | Substance Abuse Rehabilitation Facility | 1741 Hauser Blvd, Los Angeles, CA 90019-5111 | 2019-06-04 |
| 1689132284 | Mama and Papa Bear's Innovations, Inc | Substance Abuse Rehabilitation Facility | 5324 Fountain Ave, Los Angeles, CA 90029-1005 | 2019-03-04 |
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1669941811 | Cnv Detox Inc. | Substance Abuse Rehabilitation Facility | 5919 W 74th St, Los Angeles, CA 90045-1601 | 2018-11-16 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90063 |
Please comment or provide details below to improve the information on SOCIAL MODEL RECOVERY SYSTEMS, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.