Active NPI
Mayumi Hara
- Social Worker
- Los Angeles, CA
National Provider Identifier
1003233982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW60567
- Practice address
- 4401 Crenshaw Blvd
Los Angeles, CA 90043-1227 - Phone
- (323) 290-8360
- NPI assigned
- Mar 28, 2014
- Last updated
- Mar 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW60567 | CA | Primary |
Addresses
Primary practice location
4401 Crenshaw Blvd
Los Angeles, CA 90043-1227
Mailing address
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW60567 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnest Emotional Health & Wellness | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wellnest - Leimert Park
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1639293574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1003233982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 CRENSHAW BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900431227",
"telephone_number": "323-290-8360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARA",
"first_name": "MAYUMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-28",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW60567",
"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 Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.