Organization Active NPI

La Lakers

  • Early Intervention Provider Agency
  • El Segundo, CA
National Provider Identifier
1043773179
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
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

Updated by the provider on Mar 16, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20-614414OtherCATHERAPEUTIC IMPAIRED PROFESSIONAL PROVIDER

National Provider Directory

National Provider Directory
Tax ID family
La Lakers6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.