Active NPI
Vermont Galaxy Community Outreach and Shelter
- Case Management Agency
- Los Angeles, CA
National Provider Identifier
1164328050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- VERMONT GALAXY COMMUNITY OUTREACH AND SHELTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Shweta Verma
- Arthur Vermeulen, MD
- Vermont Family and Women Health Services Apc (Vermont Family and Women Health Services)
- Vermont Family and Women's Clinic, Inc
- Vermont Family Care Medical Clinic Inc
- Vermont Healthcare Center Inc
- Vermont Medical Supply, Inc (Mash Medical Supply)
- Vermont MRI, LLC
- Vermont Neurology Center
- Vermont Pharmacy & Medical Supplies Inc (Vermont Pharmacy & Medical Supplies)
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.