NPIMap

Organization Active NPI

Los Angeles Unified School District

Doing business as Balboa Student and Family Wellness Center

  • Adolescent and Children Mental Health Clinic/Center
  • Van Nuys, CA
National Provider Identifier
1003115544
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
LOS ANGELES UNIFIED SCHOOL DISTRICT
Doing business as
Balboa Student and Family Wellness Center
Practice address
6655 Balboa Blvd
Van Nuys, CA 91406-5529
Phone
(818) 758-2300
Fax
(818) 996-9850
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Margarita Bobe
Title
Manager
Phone
(213) 241-0558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X CA Primary

Addresses

Primary practice location

6655 Balboa Blvd
Van Nuys, CA 91406-5529

Mailing address

333 S. Beaudry Ave
SMH, Floor 29
Los Angeles, CA 90017-1466
Phone (818) 997-2640

Other names 1

  • Balboa Student and Family Wellness Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lausd 97TH St Valleysmh7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6655 Balboa Blvd
Van Nuys, CA 91406
Phone (818) 758-2300

6651 Balboa Blvd
Ste A
Van Nuys, CA 91406
Phone (818) 758-2300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1003115544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S. BEAUDRY AVE",
            "address_2": "SMH, FLOOR 29",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171466",
            "telephone_number": "818-997-2640",
            "fax_number": "818-996-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 BALBOA BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065529",
            "telephone_number": "818-758-2300",
            "fax_number": "818-996-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES UNIFIED SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "BOBE",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "213-241-0558"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balboa Student and Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.