NPIMap

Organization Active NPI

People Coordinated Services of Southern California, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1053861328
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
190013BN Issued in CA
Legal business name
PEOPLE COORDINATED SERVICES OF SOUTHERN CALIFORNIA, INC.
Practice address
3021 S Vermont Ave
Los Angeles, CA 90007-3033
Phone
(323) 732-9124
Fax
(323) 735-7059
NPI assigned
Oct 10, 2016
Organization subpart
Yes
Parent organization
PEOPLE COORDINATED SERVICES OF SOUTHERN CALIFORNIA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Ms. Virgie Price Walker
Title
President/Ceo
Phone
(323) 735-1231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 190013BN CA Primary

Addresses

Primary practice location

3021 S Vermont Ave
Los Angeles, CA 90007-3033

Mailing address

1221 S Western Ave
Los Angeles, CA 90006-3107
Phone (323) 735-1231

Other names 1

  • Castle Substance Abuse Program Outpatient Other name

National Provider Directory

National Provider Directory
Tax ID family
People Coordinated Services of Southern California Inc4 organizations share this tax ID, including this one
Part of
People Coordinated Services of Southern California Inc

Other organizations with this tax ID 3

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

Locations

3021 S Vermont Ave
Los Angeles, CA 90007
Phone (323) 697-2840

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1053861328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900063107",
            "telephone_number": "323-735-1231",
            "fax_number": "323-735-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073033",
            "telephone_number": "323-732-9124",
            "fax_number": "323-735-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE COORDINATED SERVICES OF SOUTHERN CALIFORNIA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEOPLE COORDINATED SERVICES OF SOUTHERN CALIFORNIA, INC.",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "VIRGIE",
        "authorized_official_middle_name": "PRICE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "323-735-1231",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "190013BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Substance Abuse Program Outpatient",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 10, 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.