NPIMap

Organization Active NPI

Gem Initiative

  • Respite Care
  • Los Angeles, CA
National Provider Identifier
1043956394
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
GEM INITIATIVE
Practice address
700 E 80TH St
Los Angeles, CA 90001-3210
Phone
(310) 720-7165
NPI assigned
May 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Authorized official

Name
Sophesias Johnson
Title
Administrator/Ow ER
Phone
(310) 749-5563

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Lodging Provider 177F00000X
Community Based Hospice Care Agency 251G00000X
Nursing Care Agency 251J00000X
PACE Provider Organization 251T00000X
Assisted Living Facility 310400000X
Mental Illness Intermediate Care Facility 310500000X
Custodial Care Facility 311Z00000X
Adult Care Home Facility 311ZA0620X
Physical Disabilities Residential Treatment Facility 320700000X
Private Vehicle 347C00000X
Respite Care 385H00000X Primary

Addresses

Primary practice location

700 E 80TH St
Los Angeles, CA 90001-3210

Mailing address

300 Long Beach Blvd Unit 21139
Long Beach, CA 90801-7168
Phone (310) 749-5563

Other practice location 1

15986 Baltray Way
Fontana, CA 92336-4546
Phone (310) 720-7165

Other practice location 2

40052 Daphne Dr
Murrieta, CA 92563-6528
Phone (310) 720-7165

Other practice location 3

4091 Elderberry Rdg
Lake Elsinore, CA 92530-2044
Phone (310) 720-7165

Other practice location 4

1110 W 156th St
Compton, CA 90220-3508
Phone (310) 720-7165

Other practice location 5

170 W Trafford St
Long Beach, CA 90805-2146
Phone (310) 720-7165

Other practice location 6

1509 W 130th St
Compton, CA 90222-1803
Phone (310) 749-5563

Other practice location 7

12720 S Broadway
Los Angeles, CA 90061-1215
Phone (310) 749-5563

Other practice location 8

1503 W 123rd
Hawthorne, CA 90250
Phone (310) 749-5563

Other practice location 9

12515 Hudson River Dr
Eastvale, CA 91752-4327
Phone (310) 720-7165

Other practice location 10

14598 Stonybrook Ct
Eastvale, CA 92880-3713
Phone (310) 720-7165

National Provider Directory

National Provider Directory

Locations

300 Long Beach Blvd
Unit 21139
Long Beach, CA 90801

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768608000000",
    "number": "1043956394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONG BEACH BLVD UNIT 21139",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908017168",
            "telephone_number": "310-749-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 80TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900013210",
            "telephone_number": "310-720-7165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15986 Baltray Way",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923364546",
            "country_code": "US",
            "telephone_number": "310-720-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40052 Daphne Dr",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925636528",
            "country_code": "US",
            "telephone_number": "310-720-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4091 Elderberry Rdg",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "925302044",
            "country_code": "US",
            "telephone_number": "310-720-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 W 156th St",
            "address_purpose": "LOCATION",
            "city": "Compton",
            "state": "CA",
            "postal_code": "902203508",
            "country_code": "US",
            "telephone_number": "310-720-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 W Trafford St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908052146",
            "country_code": "US",
            "telephone_number": "310-720-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 W 130th St",
            "address_purpose": "LOCATION",
            "city": "Compton",
            "state": "CA",
            "postal_code": "902221803",
            "country_code": "US",
            "telephone_number": "310-749-5563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12720 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900611215",
            "country_code": "US",
            "telephone_number": "310-749-5563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1503 W 123rd",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "90250",
            "country_code": "US",
            "telephone_number": "310-749-5563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12515 Hudson River Dr",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "917524327",
            "country_code": "US",
            "telephone_number": "310-720-7165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14598 Stonybrook Ct",
            "address_purpose": "LOCATION",
            "city": "Eastvale",
            "state": "CA",
            "postal_code": "928803713",
            "country_code": "US",
            "telephone_number": "310-720-7165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEM INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-10",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SOPHESIAS",
        "authorized_official_title_or_position": "ADMINISTRATOR/OW ER",
        "authorized_official_telephone_number": "310-749-5563"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "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 Jan 17, 2026; 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.