Organization Active NPI

Team One Stop, Inc

  • Voluntary or Charitable Agency
  • Los Angeles, CA
National Provider Identifier
1023228962
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
190367AN Issued in CA
Legal business name
TEAM ONE STOP, INC
Practice address
5115 W Adams Blvd
Los Angeles, CA 90016-2727
Phone
(323) 933-4391
Fax
(323) 933-5973
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eric Woolridge
Title
Executive Director
Phone
(323) 933-4391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 190367AN CA Primary

Addresses

Primary practice location

5115 W Adams Blvd
Los Angeles, CA 90016-2727

Mailing address

5115 W Adams Blvd
Los Angeles, CA 90016-2727
Phone (323) 933-4391

Other identifiers 2

IdentifierTypeStateIssuer
190367ANOtherCASTATE CERTIFICATION NO
6862OtherCAPROVIDER BILLING NUMBER

National Provider Directory

National Provider Directory

Locations

5115 W Adams Blvd
Los Angeles, CA 90016
Phone (323) 933-3439

Practitioners & affiliated clinicians

Practitioners 8

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023228962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 W ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900162727",
            "telephone_number": "323-933-4391",
            "fax_number": "323-933-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 W ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900162727",
            "telephone_number": "323-933-4391",
            "fax_number": "323-933-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM ONE STOP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOLRIDGE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-933-4391",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "190367AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CERTIFICATION NO",
            "identifier": "190367AN",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER BILLING NUMBER",
            "identifier": "6862",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.