NPIMap

Organization Active NPI

Social Model Recovery Systems, Inc.

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1124306386
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOCIAL MODEL RECOVERY SYSTEMS, INC.
Practice address
453 S Indiana St
Los Angeles, CA 90063-3908
Phone
(323) 266-7725
Fax
(323) 266-7742
NPI assigned
Jul 21, 2011
Organization subpart
Yes
Parent organization
SOCIAL MODEL RECOVERY SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Lynetta Louise Hale, MA, LMFT, LPT
Title
Senior Director, Clinical Services
Phone
(626) 332-3145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

453 S Indiana St
Los Angeles, CA 90063-3908

Mailing address

453 S Indiana St
Los Angeles, CA 90063-3908
Phone (323) 266-7725

Other names 1

  • Mariposa Recovery Home Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2271338Social Model Recovery Systems453 S Indiana St, Los Angeles, CA 90063Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory
Part of
Social Model Recovery Systems Inc

Locations

23701 E East Fork Rd
Azusa, CA 91702
Phone (626) 250-3290

11046 Main St
El Monte, CA 91731
Phone (626) 444-9000

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1124306386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S INDIANA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900633908",
            "telephone_number": "323-266-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S INDIANA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900633908",
            "telephone_number": "323-266-7725",
            "fax_number": "323-266-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL MODEL RECOVERY SYSTEMS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOCIAL MODEL RECOVERY SYSTEMS, INC.",
        "enumeration_date": "2011-07-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "LYNETTA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, CLINICAL SERVICES",
        "authorized_official_telephone_number": "626-332-3145",
        "authorized_official_credential": "MA, LMFT, LPT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mariposa Recovery Home",
            "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 Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.