Organization Active NPI

Linda Forster

  • Mental Illness Community Based Residential Treatment Facility
  • Hawthorne, CA
National Provider Identifier
1053769588
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
65532 Issued in CA
Legal business name
LINDA FORSTER
Practice address
2501 W El Segundo Blvd
Hawthorne, CA 90250-3317
Phone
(310) 679-9126
NPI assigned
May 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Linda Louise Forster
Title
Clinical Social Worker
Phone
(323) 365-0487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 65532 CA Primary

Addresses

Primary practice location

2501 W El Segundo Blvd
Hawthorne, CA 90250-3317

Mailing address

PO Box 6697
Altadena, CA 91003-6697

National Provider Directory

National Provider Directory

Locations

2501 W El Segundo Blvd
Hawthorne, CA 90250
Phone (323) 754-2816

NPI Registry JSON

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1053769588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6697",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910036697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W EL SEGUNDO BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503317",
            "telephone_number": "310-679-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA FORSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "FORSTER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "323-365-0487"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "65532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.