NPIMap

Organization Active NPI

Crossroads Skills Development Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1154546992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
7210 Issued in CA
Legal business name
CROSSROADS SKILLS DEVELOPMENT INC.
Practice address
1704 W Manchester Ave Ste 105
Los Angeles, CA 90047-3056
Phone
(323) 759-6224
NPI assigned
Apr 16, 2007
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
James Eze
Title
Executive Director
Phone
(323) 759-6224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 7210 CA Primary

Addresses

Primary practice location

1704 W Manchester Ave Ste 105
Los Angeles, CA 90047-3056

Mailing address

1704 W Manchester Ave Ste 105
Los Angeles, CA 90047-3056
Phone (323) 759-6224

Other identifiers 1

IdentifierTypeStateIssuer
7210OtherCAPROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Skills Development Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154546992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473056",
            "telephone_number": "323-759-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473056",
            "telephone_number": "323-759-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS SKILLS DEVELOPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-759-6224"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "7210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "7210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.