LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH (NPI# 1427515246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427515246 |
| Entity Type | Organization |
| Organization Name | LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH |
| Other Organization Name | RANCHO PARK GR PEI PROGRAM |
| Practice Address |
11110 W Pico Blvd Los Angeles CA 90064-1709 |
| Mailing Address |
550 S Vermont Ave Los Angeles CA 90020-1912 |
| Practice Telephone | 2136396777 |
| Practice Fax Number | 2137384979 |
| Mailing Telephone | 2137384601 |
| Mailing Fax Number | 2133861297 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-08-09 |
| 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 | LOS ANGELES COUNTY 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 | 19BI | 05 |
| Other Name | Type Code |
|---|---|
| Rancho Park GR PEI Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1760003859 | Los Angeles County Department of Mental Health | Clinic/Center | 1000 W Avenue J, Lancaster, CA 93534-3329 | 2020-04-30 |
| 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 |
| 1144787961 | Los Angeles County Department of Mental Health | Clinic/Center | 813 E 4th Pl, Los Angeles, CA 90013-1805 | 2019-02-28 |
| 1396202438 | Los Angeles County Department of Mental Health | Clinic/Center | 15777 Bowdoin St # J110a, Pacific Palisades, CA 90272-3523 | 2019-02-25 |
| 1912478348 | Los Angeles County Department of Mental Health | Clinic/Center | 550 S Vermont Ave Ste 901, Los Angeles, CA 90020-1912 | 2018-12-11 |
| 1609368323 | Los Angeles County Department of Mental Health | Clinic/Center | 780 N San Vicente Blvd Rm 217, West Hollywood, CA 90069-5021 | 2018-05-30 |
| 1033632468 | Los Angeles County Department of Mental Health | Clinic/Center | 1 W Manchester Blvd, Inglewood, CA 90301-1764 | 2017-07-18 |
| 1265955694 | Los Angeles County Department of Mental Health | Clinic/Center | 200 N Pacific Coast Hwy, Redondo Beach, CA 90277-3150 | 2017-07-18 |
| 1538689005 | Los Angeles County Department of Mental Health | Clinic/Center | 6320 W 96th St, Los Angeles, CA 90045-5233 | 2017-06-26 |
| Street Address |
11110 W PICO BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| 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 |
| 1295290658 | Thrive Therapy, Inc. | Clinic/Center | 12240 Venice Blvd Ste 26, Los Angeles, CA 90066-3891 | 2019-02-09 |
| 1912478348 | Los Angeles County Department of Mental Health | Clinic/Center | 550 S Vermont Ave Ste 901, Los Angeles, CA 90020-1912 | 2018-12-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on LOS ANGELES COUNTY 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.