Active NPI
Emq Hollygrove
- Community/Behavioral Health Agency
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
- Last updated
- Feb 5, 2013
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
815 N El Centro Ave
Los Angeles, CA 90038
Phone (323) 463-2119
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Los Angeles, CA
- NPI 1376661637
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.