Active NPI
La Lakers
- Early Intervention Provider Agency
- El Segundo, CA
National Provider Identifier
1043773179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- LA LAKERS
- Practice address
- 2275 E Mariposa Ave
El Segundo, CA 90245-5029 - Phone
- (310) 426-6000
- NPI assigned
- Apr 6, 2019
- 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
- Mr. Adam Silver
- Title
- Vice President Nba
- Phone
- (310) 426-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
2275 E Mariposa Ave
El Segundo, CA 90245-5029
Mailing address
2275 E Mariposa Ave
El Segundo, CA 90245-5029
Phone (310) 426-6000
Other practice location 1
2101 NE 2nd St Apt 114
Gainesville, FL 32609-8626
Phone (352) 792-8060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-614414 | Other | CA | THERAPEUTIC IMPAIRED PROFESSIONAL PROVIDER |
National Provider Directory
National Provider Directory- Tax ID family
- La Lakers
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Service Clinic/Center
- El Segundo, CA
- NPI 1639632763
-
- Nursing Care Agency
- Gainesville, FL
- NPI 1043973910
-
- Optometrist
- Gainesville, FL
- NPI 1134682263
-
- Primary Care Clinic/Center
- Gainesville, FL
- NPI 1578228375
-
- General Acute Care Hospital
- Gainesville, FL
- NPI 1972065001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615852800000",
"number": "1043773179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 E MARIPOSA AVE",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455029",
"telephone_number": "310-426-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 E MARIPOSA AVE",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902455029",
"telephone_number": "310-426-6000"
}
],
"practiceLocations": [
{
"address_1": "2101 NE 2nd St Apt 114",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326098626",
"country_code": "US",
"telephone_number": "352-792-8060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LA LAKERS",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-06",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A",
"authorized_official_last_name": "SILVER",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "VICE PRESIDENT NBA",
"authorized_official_telephone_number": "310-426-6000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THERAPEUTIC IMPAIRED PROFESSIONAL PROVIDER",
"identifier": "20-614414",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.