PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL (NPI# 1508055971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508055971 |
| Entity Type | Organization |
| Organization Name | PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL |
| Other Organization Name | PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL |
| Practice Address |
11001 E. Valley Mall Suite 300 El Monte CA 91731-2620 |
| Mailing Address |
1000 N Alameda St Suite 390 Los Angeles CA 90012-1804 |
| Practice Telephone | 6264420710 |
| Practice Fax Number | 6264428381 |
| Mailing Telephone | 2135423838 |
| Mailing Fax Number | 2132250085 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2011-03-09 |
| Authorized Official Name | MS. CASSANDRA LOCH (PRESIDENT, CEO) |
| Authorized Official Telephone | 2135423838 |
| Authorized Official Credential | LCSW, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LA COUNTY DMH | 7370P | 01 |
| Other Name | Type Code |
|---|---|
| Prototypes Centers for Innovation in Health, Mental Health and Social | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134421365 | Prototypes Centers for Innovation In Health, Mental Health and Social | Clinic/Center | 40 N Altadena Dr, Suite 1b, Pasadena, CA 91107-3386 | 2010-11-19 |
| 1003932047 | Prototypes Centers for Innovation In Health, Mental Health and Social | Community/Behavioral Health | 831 E Arrow Hwy, Pomona, CA 91767-2535 | 2007-03-21 |
| Street Address |
11001 E. VALLEY MALL SUITE 300 |
| City | EL MONTE |
| State | CA |
| Zip Code | 91731-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033443346 | Briana Kay Van Scoy | Counselor | 11001 E. Valley Mall, Suite 300, El Monte, CA 91731 | 2009-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154965994 | Anahi Mora | Case Manager/Care Coordinator | 3629 Santa Anita Ave, El Monte, CA 91731 | 2019-11-05 |
| 1346882321 | Rosemary Pespisa | Technician | 10558 Emery St., El Monte, CA 91731 | 2019-10-11 |
| 1962058123 | Maria Jesusa Gabriel | Licensed Vocational Nurse | 11041 E. Valley Blvd., El Monte, CA 91731 | 2019-08-14 |
| 1346720679 | Ivan Bustamante | Counselor | 11429 Valley Boulevard, El Monte, Ca 91731, El Monte, CA 91731 | 2018-08-16 |
| 1891213229 | Abbye Williams | Counselor | 11100 Valley Blvd Suite 116, El Monte, CA 91731 | 2017-09-06 |
| 1215467279 | All Health Alliance Medical Group, Inc. | Physical Medicine & Rehabilitation | 10505 Valley Boulevard, #238, El Monte, CA 91731 | 2017-06-13 |
| 1427416486 | Mai Le | Counselor | 11041 E. Valley Blvd, El Monte, CA 91731 | 2016-02-05 |
| 1235526724 | Kristine Malana | Social Worker | 10418 E. Valley Blvd., Suite A, El Monte, CA 91731 | 2015-04-22 |
| 1376980250 | Aura Hernandez | Rehabilitation Practitioner | 9865 Baldwin Pl., El Monte, CA 91731 | 2013-05-31 |
| 1639411754 | Roxana Yaneth De Paz | Nurse's Aide | 10481 Valley Blvd., El Monte, CA 91731 | 2013-03-27 |
| Find all providers in zip 91731 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437707833 | D'veal Family and Youth Services | Community/Behavioral Health | 1001 Durfee Ave, El Monte, CA 91733-4409 | 2019-08-28 |
| 1275181679 | D'veal Family and Youth Services | Community/Behavioral Health | 4921 Cedar Ave # 1035, El Monte, CA 91732-1035 | 2019-08-28 |
| 1417410945 | Alma Family Services | Community/Behavioral Health | 12347 Ramona Blvd., Main Office Building (therapy Room #1), El Monte, CA 91732-2569 | 2019-04-11 |
| 1487105813 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 3426 Cogswell Rd, El Monte, CA 91732-2785 | 2016-10-20 |
| 1962884304 | Star View Behavioral Health Inc. | Community/Behavioral Health | 9040 Telstar Avenue, Suite 101 & 102, El Monte, CA 91731-2838 | 2015-06-22 |
| 1477982296 | Sgvc | Community/Behavioral Health | 11046 Valley Mall, El Monte, CA 91731-2617 | 2013-11-02 |
| 1114297827 | Hacc Inc | Community/Behavioral Health | 3300 Gilman Rd, El Monte, CA 91732-3226 | 2012-01-11 |
| 1134499841 | Hacc Inc | Community/Behavioral Health | 12460 Fineview St, El Monte, CA 91732-3930 | 2012-01-11 |
| 1346510807 | Hacc Inc | Community/Behavioral Health | 11919 Magnolia St, El Monte, CA 91732-3401 | 2011-12-30 |
| 1639357478 | Pacific Clinics | Community/Behavioral Health | 5050 Kings Row, El Monte, CA 91731-5405 | 2008-02-04 |
| Find all providers in EL MONTE | ||||
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| 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.