NPIMap

Organization Active NPI

County of Los Angeles Department of Mental Health

  • Point of Service
  • Los Angeles, CA
National Provider Identifier
1114331139
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH
Practice address
1605 Eastlake Ave
2ND Floor
Los Angeles, CA 90033-1009
Phone
(323) 226-8826
Fax
(323) 226-8820
NPI assigned
Jun 18, 2014
Last updated
Jun 18, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Dr. Marvin J Southard, D.S.W., D.S.W.
Title
Director
Phone
(213) 738-4601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X CA Primary

Addresses

Primary practice location

1605 Eastlake Ave
2ND Floor
Los Angeles, CA 90033-1009

Mailing address

1605 Eastlake Avenue
2ND Floor
Los Angeles, CA 90033
Phone (323) 226-8826

Other names 1

  • CENTRAL JUVENILE HALL MENTAL HEALTH UNIT Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Public Health Pharmacy613 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1605 Eastlake Ave
Fl 2
Los Angeles, CA 90033
Phone (323) 226-2014

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1114331139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 EASTLAKE AVENUE",
            "address_2": "2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90033",
            "telephone_number": "323-226-8826",
            "fax_number": "323-226-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 EASTLAKE AVE",
            "address_2": "2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331009",
            "telephone_number": "323-226-8826",
            "fax_number": "323-226-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "SOUTHARD, D.S.W.",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "213-738-4601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.S.W."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL JUVENILE HALL MENTAL HEALTH UNIT",
            "code": "4",
            "type": "Former Legal Business 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 Jun 18, 2014; 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.