SOCIAL MODEL RECOVERY SYSTEMS, INC. (NPI# 1922096072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922096072 |
| Entity Type | Organization |
| Organization Name | SOCIAL MODEL RECOVERY SYSTEMS, INC. |
| Practice Address |
4445 Burns Ave Los Angeles CA 90029-2702 |
| Mailing Address |
223 E Rowland St Covina CA 91723-3147 |
| Practice Telephone | 3236648940 |
| Practice Fax Number | 3236641786 |
| Mailing Telephone | 6263323145 |
| Mailing Fax Number | 6269744164 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2016-03-21 |
| 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 | 190008CN | 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 |
| 1124306386 | Social Model Recovery Systems, Inc. | Substance Abuse Rehabilitation Facility | 453 S Indiana St, Los Angeles, CA 90063-3908 | 2011-07-21 |
| 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 |
| 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 |
4445 BURNS AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548867153 | Laura Garcia | Counselor | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2020-10-06 |
| 1255967048 | Raul Victor Figueroa | Counselor | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2020-03-12 |
| 1558994418 | Frederick Ruel Mack | Counselor | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2020-02-19 |
| 1316577687 | Darnell Johnson | Counselor | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2020-01-24 |
| 1881236834 | Bobby Ray Scott | Counselor | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2019-10-10 |
| 1851941090 | Regina M. Owens-durant | Counselor | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2019-09-19 |
| 1386294205 | Maria Fernanda Baires | Counselor | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2019-09-12 |
| 1699324764 | Breeanna Freddie Rodriguez | Counselor | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2019-09-10 |
| 1851949085 | Yolanda Sinclair | Social Worker | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2019-08-30 |
| 1780242941 | Timothy R Rogers | Marriage & Family Therapist | 4445 Burns Ave, Los Angeles, CA 90029-2702 | 2019-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| 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 | 90029 |
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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.