Organization Active NPI

County of Los Angeles DMH

  • Public Health or Welfare Agency
  • Compton, CA
National Provider Identifier
1104957489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
LCS21312 Issued in CA
Legal business name
COUNTY OF LOS ANGELES DMH
Practice address
921 E Compton Blvd
Compton, CA 90221-3303
Phone
(310) 668-6855
NPI assigned
Mar 8, 2007
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
Dr. Marvin Souther, DSW
Title
Director of DMH
Phone
(213) 738-4651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X LCS21312 CA Primary

Addresses

Primary practice location

921 E Compton Blvd
Compton, CA 90221-3303

Mailing address

1401 W Magnolia St
Compton, CA 90220-1501
Phone (310) 594-1332

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XMedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104957489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W MAGNOLIA ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902201501",
            "telephone_number": "310-594-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E COMPTON BLVD",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213303",
            "telephone_number": "310-668-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES DMH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUTHER",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "DIRECTOR OF DMH",
        "authorized_official_telephone_number": "213-738-4651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "LCS21312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Compton, 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.