Active NPI
David B Legall I, MHRS
- Rehabilitation Practitioner
- San Pedro, CA
National Provider Identifier
1043892664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 537 W 8TH St
San Pedro, CA 90731-3119 - Phone
- (714) 617-4886
- NPI assigned
- Apr 22, 2021
- Last updated
- May 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 225400000X | CA | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
537 W 8TH St
San Pedro, CA 90731-3119
Mailing address
2790 Skypark Dr
Torrance, CA 90505-5300
Other practice location 1
1691 Gramercy Ave
Torrance, CA 90501-3236
Phone (714) 617-4886
Other practice location 2
5300 Angeles Vista Blvd
View Park, CA 90043-1648
Phone (323) 295-4555
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 |
|---|---|---|---|
| 225400000X | CA | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite of Passage Adolescent Treatment Centers and Schools, Inc. | Current | Accepting new patients | |
| Rite of Passage Adolescent Treatment Centers and Schools, Inc. | Past | Accepting new patients | |
| Fleming & Barnes, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- San Pedro, CA
- NPI 1679103006
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Torrance, CA
- NPI 1760940480
-
- Adolescent and Children Mental Health Clinic/Center
- Torrance, CA
- NPI 1003391467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1043892664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 SKYPARK DR",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 W 8TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313119",
"telephone_number": "714-617-4886"
}
],
"practiceLocations": [
{
"address_1": "1691 Gramercy Ave",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905013236",
"country_code": "US",
"telephone_number": "714-617-4886",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5300 Angeles Vista Blvd",
"address_purpose": "LOCATION",
"city": "View Park",
"state": "CA",
"postal_code": "900431648",
"country_code": "US",
"telephone_number": "323-295-4555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEGALL",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "MHRS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-22",
"last_updated": "2025-05-12",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "225400000X",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.