Organization Active NPI

Vermont Galaxy Community Outreach and Shelter

  • Case Management Agency
  • Los Angeles, CA
National Provider Identifier
1164328050
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VERMONT GALAXY COMMUNITY OUTREACH AND SHELTER
Practice address
10121 S Vermont Ave
Los Angeles, CA 90044-3113
Phone
(323) 819-5286
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
VERMONT GALAXY COMMUNITY OUTREACH AND SHELTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Samuel Mark
Title
Co-Ceo
Phone
(323) 819-5286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

10121 S Vermont Ave
Los Angeles, CA 90044-3113

Mailing address

10121 S Vermont Ave
Los Angeles, CA 90044-3113
Phone (323) 819-5286

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1164328050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443113",
            "telephone_number": "323-819-5286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443113",
            "telephone_number": "323-819-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT GALAXY COMMUNITY OUTREACH AND SHELTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERMONT GALAXY COMMUNITY OUTREACH AND SHELTER",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "323-819-5286"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.