Active NPI
Charles Yovanne Macias
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1013703255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 19744
- Practice address
- 225 N Mariposa Ave
Los Angeles, CA 90004-4509 - Phone
- (213) 736-5441
- NPI assigned
- Apr 15, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19744 | CA | Primary |
Addresses
Primary practice location
225 N Mariposa Ave
Los Angeles, CA 90004-4509
Mailing address
5233 E Beverly Blvd
East Los Angeles, CA 90022-2020
Phone (323) 499-3650
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 |
|---|---|---|---|
| 19744 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1013703255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5233 E BEVERLY BLVD",
"city": "EAST LOS ANGELES",
"state": "CA",
"postal_code": "900222020",
"telephone_number": "323-499-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N MARIPOSA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900044509",
"telephone_number": "213-736-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACIAS",
"first_name": "CHARLES",
"middle_name": "YOVANNE",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "19744",
"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 Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.