COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH (NPI# 1265648604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265648604 |
| Entity Type | Organization |
| Organization Name | COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH |
| Other Organization Name | NORTHEAST MHC -- WELLNESS CENTER |
| Practice Address |
5321 Via Marisol Los Angeles CA 90042-4883 |
| Mailing Address |
550 S Vermont Ave Los Angeles CA 90020-1912 |
| Practice Telephone | 3234788200 |
| Practice Fax Number | 3233448829 |
| Mailing Telephone | 2137384601 |
| Mailing Fax Number | 2133861297 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | DR. JONATHAN E. SHERIN (DIRECTOR) |
| Authorized Official Telephone | 2137384601 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 7765 | 05 |
| Other Name | Type Code |
|---|---|
| Northeast MHC -- Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477567014 | County of Los Angeles Department of Mental Health | Clinic/Center | 320 W Temple St, Los Angeles, CA 90012-3208 | 2006-07-28 |
| 1114331139 | County of Los Angeles Department of Mental Health | Point of Service | 1605 Eastlake Ave, 2nd Floor, Los Angeles, CA 90033-1009 | 2014-06-18 |
| 1467647149 | County of Los Angeles Department of Mental Health | Case Management | 1529 E Palmdale Blvd, Suite 150, Palmdale, CA 93550-2034 | 2007-09-06 |
| 1356557797 | County of Los Angeles Department of Mental Health | Clinic/Center | 921 E Compton Blvd, Compton, CA 90221-3303 | 2007-05-15 |
| 1174739510 | County of Los Angeles Department of Mental Health | Clinic/Center | 6800 Owensmouth Ave, Suite 160, Canoga Park, CA 91303-3159 | 2007-05-15 |
| 1467672295 | County of Los Angeles Department of Mental Health | Clinic/Center | 11080 W Olympic Blvd, Los Angeles, CA 90064-1937 | 2007-04-26 |
| Street Address |
5321 VIA MARISOL |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90042-4883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851497671 | Maria Elena Medrano | Social Worker | 5321 Via Marisol, Los Angeles, CA 90042-4883 | 2006-09-16 |
| 1629610837 | Tirsa Sharon Ventura | Student in an Organized Health Care Education/Training Program | 5321 Via Marisol, Los Angeles, CA 90042-4883 | 2019-10-09 |
| 1841849353 | Heather Mesa | Student in an Organized Health Care Education/Training Program | 5321 Via Marisol, Los Angeles, CA 90042 | 2019-09-06 |
| 1508333923 | Daniel Mercado | Community Health Worker | 5321 Via Marisol, Los Angeles, CA 90042-4883 | 2018-10-24 |
| 1942775069 | Nelson Antonio Bohorquez | Student in an Organized Health Care Education/Training Program | 5321 Via Marisol, Los Angeles, CA 90042-4883 | 2018-10-04 |
| 1427532332 | Alexandra Aftalion | Student in an Organized Health Care Education/Training Program | 5321 Via Marisol, Los Angeles, CA 90042-4883 | 2018-09-18 |
| 1457834756 | Gloria Susana Mendez | Student in an Organized Health Care Education/Training Program | 5321 Via Marisol, Los Angeles, CA 90042-4883 | 2018-09-12 |
| 1184106486 | Dora Martha Reyes | Community Health Worker | 5321 Via Marisol, Los Angeles, CA 90042-4883 | 2018-09-04 |
| 1093200040 | Laura Stella Ocampo | Social Worker | 5321 Via Marisol, Los Angeles, CA 90042-4883 | 2018-06-22 |
| 1720592520 | Susan Dorairaj | Registered Nurse | 5321 Via Marisol, Los Angeles, CA 90042-4883 | 2017-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972140432 | Oak and Stone Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5619 North Figueroa Street, #212, Los Angeles, CA 90042 | 2019-12-04 |
| 1730640624 | Maria Guadalupe Bykowski | Nurse Practitioner | Family Care Specialists, 5823 York Blvd, Suite #1, Los Angeles, CA 90042 | 2019-03-25 |
| 1366935892 | Chris Scott | Physical Therapist | 4295 Via Arbolada #103, Los Angeles, CA 90042 | 2018-06-09 |
| 1043744055 | Magdalene Elise Wilhelm | Counselor | 4210 Via Arbolada, Unit 313, Los Angeles, CA 90042 | 2017-04-17 |
| 1669918967 | Sara Semal | Counselor | 5140 1/2 York Blvd, Los Angeles, CA 90042 | 2017-01-10 |
| 1164977427 | Jennifer Ann Walters | Marriage & Family Therapist | 4809 York Blvd, Los Angeles, CA 90042 | 2016-08-16 |
| 1073922415 | Michael Gerald Bauer | Marriage & Family Therapist | 5619 N. Figueroa Street, #223, Los Angeles, CA 90042 | 2014-08-11 |
| 1639519770 | Adam Cloe | Pathology | 6033 Hillandale Dr, Los Angeles, CA 90042 | 2013-07-03 |
| 1730480682 | Stat Response Ambulance, Inc. | Secured Medical Transport (VAN) | 4750 York Blvd., Los Angeles, CA 90042 | 2010-11-09 |
| 1427295377 | Carmen Castellon | Dental Assistant | 5807 M Figueroa St, Los Angeles, CA 90042 | 2009-01-14 |
| Find all providers in zip 90042 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633864 | Andrea Forcina | Clinic/Center | 3401 Glendale Blvd Fl 2, Los Angeles, CA 90039-1814 | 2020-06-08 |
| 1831710706 | Beyond Cancer Family Therapy Inc | Clinic/Center | 4082 S Cloverdale Ave, Los Angeles, CA 90008-1033 | 2020-05-02 |
| 1518599851 | Vip Community Mental Health Center, Inc | Clinic/Center | 2820 E 1st St, Los Angeles, CA 90033-3636 | 2020-02-05 |
| 1699306340 | Vip Community Mental Health Center, Inc. | Clinic/Center | 2730 Ganahl St, Los Angeles, CA 90033-2019 | 2020-01-31 |
| 1629618350 | Ustawi | Clinic/Center | 13101 W Washington Blvd Ste 118, Los Angeles, CA 90066-5176 | 2020-01-10 |
| 1073158622 | Los Angeles County Department of Mental Health | Clinic/Center | 3303 N. Broadway Ave., 3rd/4th Floor, Los Angeles, CA 90031-0061 | 2019-11-07 |
| 1790327179 | Otc LLC | Clinic/Center | 6607 N Figueroa St Apt 10, Los Angeles, CA 90042-2037 | 2019-10-17 |
| 1144787961 | Los Angeles County Department of Mental Health | Clinic/Center | 813 E 4th Pl, Los Angeles, CA 90013-1805 | 2019-02-28 |
| 1427515246 | Los Angeles County Department of Mental Health | Clinic/Center | 11110 W Pico Blvd, Los Angeles, CA 90064-1709 | 2019-02-28 |
| 1295290658 | Thrive Therapy, Inc. | Clinic/Center | 12240 Venice Blvd Ste 26, Los Angeles, CA 90066-3891 | 2019-02-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90042 |
Please comment or provide details below to improve the information on COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH.
| 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.