Active NPI
Raise a Village la
- Rehabilitation Clinic/Center
- Los Angeles, CA
National Provider Identifier
1063141190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- RAISE A VILLAGE LA
- Doing business as
- Raise a Village LA
- Practice address
- 522 W 51St St
Los Angeles, CA 90037-3302 - Phone
- (818) 441-2683
- NPI assigned
- Jun 6, 2022
- Last updated
- Jun 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Monica Jan Hughes
- Title
- Executive Director
- Phone
- (818) 961-6506
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
522 W 51St St
Los Angeles, CA 90037-3302
Mailing address
3605 Long Beach Blvd Ste 315
Long Beach, CA 90807-4025
Phone (818) 441-2683
Other names 1
- Raise a Village LA
National Provider Directory
National Provider DirectoryLocations
3605 Long Beach Blvd
Ste 315
Long Beach, CA 90807
Phone (562) 761-3293
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
- NPI 1558483008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654473600000",
"number": "1063141190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 LONG BEACH BLVD STE 315",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908074025",
"telephone_number": "818-441-2683",
"fax_number": "562-726-1665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W 51ST ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900373302",
"telephone_number": "818-441-2683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAISE A VILLAGE LA",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "JAN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "818-961-6506",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Raise a Village LA",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.