NPIMap

Organization Active NPI

Dixon Recovery Institute, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1104055862
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190622AN Issued in CA
Legal business name
DIXON RECOVERY INSTITUTE, INC.
Practice address
1803 Crenshaw Blvd
Los Angeles, CA 90019-6039
Phone
(323) 988-3744
NPI assigned
Jul 2, 2009
Organization subpart
Yes
Parent organization
DIXON RECOVERY INSTITUTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Ronda Dixon, JD
Title
Executive Director
Phone
(323) 988-3744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190622AN CA Primary

Addresses

Primary practice location

1803 Crenshaw Blvd
Los Angeles, CA 90019-6039

Mailing address

4715 Crenshaw Blvd
Los Angeles, CA 90043-1233
Phone (323) 988-3744

Other identifiers 1

IdentifierTypeStateIssuer
197336OtherCADRUG MEDI-CAL

Other names 1

  • DRI/Sojourner Truth Tri-C Other name

National Provider Directory

National Provider Directory
Tax ID family
Hope Street13 organizations share this tax ID, including this one
Part of
Hope Street

Other organizations with this tax ID 12

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

Locations

4715 Crenshaw Blvd
Los Angeles, CA 90043
Phone (323) 244-5677

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1104055862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431233",
            "telephone_number": "323-988-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196039",
            "telephone_number": "323-988-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON RECOVERY INSTITUTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIXON RECOVERY INSTITUTE, INC.",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-988-3744",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190622AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDI-CAL",
            "identifier": "197336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRI/Sojourner Truth Tri-C",
            "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 Jul 2, 2009; 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.