Active NPI
Portals Mental Health
- Case Management Agency
- Los Angeles, CA
National Provider Identifier
1043359631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- MFC42321
- Legal business name
- PORTALS MENTAL HEALTH
- Practice address
- 2500 Wilshire Blvd
Suite 500
Los Angeles, CA 90057-4303 - Phone
- (213) 639-0299
- NPI assigned
- Feb 6, 2007
- Last updated
- Aug 22, 2020
- 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
- Dr. Simcha Goldman, PH.D
- Title
- Director
- Phone
- (213) 639-2510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | MFC42321 | CA | Primary |
Addresses
Primary practice location
2500 Wilshire Blvd
Suite 500
Los Angeles, CA 90057-4303
Mailing address
2500 Wilshire Blvd
Suite 500
Los Angeles, CA 90057-4303
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 26
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043359631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 WILSHIRE BLVD",
"address_2": "SUITE 500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 WILSHIRE BLVD",
"address_2": "SUITE 500",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574303",
"telephone_number": "213-639-0299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTALS MENTAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOLDMAN",
"authorized_official_first_name": "SIMCHA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "213-639-2510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": "MFC42321",
"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 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.