Epidaurus

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EPIDAURUS

Doing business as

Amity Foundation

Practice address

3750 S Grand Ave
Los Angeles, CA 90007-4331

Phone

(213) 743-9078

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Doug G Bond

Title

Chief Executive Officer

Phone

(213) 400-4243

Specialties & licenses 1

Addresses

Other names 1

• Amity Foundation Doing business as

Electronic endpoints 1

Tax ID family

Amity Foundation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

• Epidaurus

  dba Amity Foundation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Vista, CA
  • NPI 1417434176
  NPD tax ID
• Epidaurus

  dba Amity Foundation

  • Case Management Agency
  • Anaheim, CA
  • NPI 1467299263
  NPD tax ID
• Epidaurus

  dba Amity Foundation

  • Case Management Agency
  • Moreno Valley, CA
  • NPI 1639060668
  NPD tax ID
• Epidaurus

  dba Amity Foundation

  • Case Management Agency
  • Los Angeles, CA
  • NPI 1689443772
  NPD tax ID
• Epidaurus

  dba Amity Foundation

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1699869172
  NPD tax ID
• Epidaurus

  dba Amity Foundation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tucson, AZ
  • NPI 1831968551
  NPD tax ID
• Epidaurus (Dba)

  dba Amity Foundation

  • Substance Abuse Rehabilitation Facility
  • Tucson, AZ
  • NPI 1861505901
  NPD tax ID

Locations

Practitioners 3

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

• Red Culbertson

  • Case Manager/Care Coordinator
  • Los Angeles, CA
  • NPI 1497581037
  NPD (past)
• Erica Michelle Estrada

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1518839257
  NPD (past)
• Kimberly Nicole Zuniga

  • Community Health Worker
  • Los Angeles, CA
  • NPI 1851115323
  NPD (past)

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1144622689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3043",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857023043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 S GRAND AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900074331",
            "telephone_number": "213-743-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIDAURUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "213-400-4243"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.amityfdn.org",
            "affiliation": "N",
            "address_1": "3750 S Grand Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900074331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amity Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amity Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherry Lynn Ephrim, BS HUMAN SERVICES
• Epic Family Therapy, PC
• Epic Homecare Inc.
• Epic Solution and Logistics LLC (Vital-Link Transportation)
• Epicgenetics, Inc.
• Epidaurus (Amity Foundation)
• Epidaurus Medical (Epidaurus Rehab Consultants)
• Epiphany House Inc.
• Daishan Monae Epperson
• Alexander Helmut Eppich, DC

• Community/Behavioral Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.