NPIMap

Organization Active NPI

County of Los Angeles

  • Mental Illness Community Based Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1104905140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
328506 Issued in CA
Legal business name
COUNTY OF LOS ANGELES
Practice address
3811 Edgehill Dr
Los Angeles, CA 90008-1932
Phone
(323) 291-7275
NPI assigned
Nov 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Vivian B Watts, REGISTERED NURSE
Title
Mental Health Counselor RN
Phone
(310) 668-6862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 328506 CA Primary

Addresses

Primary practice location

3811 Edgehill Dr
Los Angeles, CA 90008-1932

Mailing address

3811 Edgehill Dr
Los Angeles, CA 90008-1932
Phone (323) 291-7275

National Provider Directory

National Provider Directory
Tax ID family
Compton Mental Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104905140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 EDGEHILL DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081932",
            "telephone_number": "323-291-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 EDGEHILL DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900081932",
            "telephone_number": "323-291-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR RN",
        "authorized_official_telephone_number": "310-668-6862",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "CA",
            "license": "328506",
            "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 Aug 22, 2020; 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.