Organization Active NPI

Emq Hollygrove

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1003003542
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMQ HOLLYGROVE
Practice address
815 N El Centro Ave
Los Angeles, CA 90038-3805
Phone
(323) 463-2119
Fax
(323) 463-0619
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shawn Caracoza
Title
Director
Phone
(323) 463-2119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

815 N El Centro Ave
Los Angeles, CA 90038-3805

Mailing address

815 N El Centro Ave
Los Angeles, CA 90038-3805
Phone (323) 463-2119

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1003003542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N EL CENTRO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383805",
            "telephone_number": "323-463-2119",
            "fax_number": "323-463-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N EL CENTRO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900383805",
            "telephone_number": "323-463-2119",
            "fax_number": "323-463-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMQ HOLLYGROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "CARACOZA",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-463-2119"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.