Organization Active NPI

Assistance League of San Pedro-South Bay

  • Dental Clinic/Center
  • San Pedro, CA
National Provider Identifier
1124442850
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ASSISTANCE LEAGUE OF SAN PEDRO-SOUTH BAY
Practice address
1441 W 8TH St
San Pedro, CA 90732-3803
Phone
(310) 832-8355
Fax
(310) 832-8460
NPI assigned
Feb 18, 2014
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Mrs. Sharon Jean Cole
Title
President
Phone
(310) 435-2624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1441 W 8TH St
San Pedro, CA 90732-3803

Mailing address

1441 W 8TH St
San Pedro, CA 90732-3803
Phone (310) 832-8355

National Provider Directory

National Provider Directory

Locations

1441 W 8th St
San Pedro, CA 90732
Phone (310) 832-5295

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1124442850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 W 8TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323803",
            "telephone_number": "310-832-8355",
            "fax_number": "310-832-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 W 8TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323803",
            "telephone_number": "310-832-8355",
            "fax_number": "310-832-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTANCE LEAGUE OF SAN PEDRO-SOUTH BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-435-2624",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.