Southern California Indian Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUTHERN CALIFORNIA INDIAN CENTER

Practice address

5805 N Figueroa St
Highland Park, CA 90042-4227

Phone

(323) 274-1070

NPI assigned

Dec 3, 2012

Last updated

Dec 3, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paula Starr

Title

Excecutive Director

Phone

(714) 662-6673

Specialties & licenses 2

Addresses

Tax ID family

Southern California Indian Center2 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.

• Southern California Indian Center

  • Community/Behavioral Health Agency
  • Highland Park, CA
  • NPI 1497196711
  NPD tax ID

Locations

Practitioners 2

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.

• Walter Ahhaitty

  • Community Health Worker
  • El Segundo, CA
  • NPI 1225695604
  NPD (past)
• James Charles Burns

  • Community Health Worker
  • Los Angeles, CA
  • NPI 1619484060
  NPD (past)

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1164767141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 SLATER AVE STE 150",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084717",
            "telephone_number": "714-962-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 N FIGUEROA ST",
            "city": "HIGHLAND PARK",
            "state": "CA",
            "postal_code": "900424227",
            "telephone_number": "323-274-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA INDIAN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "EXCECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-662-6673"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood Pasadena and San Gabriel Valley Inc (Planned Parenthood Highland Park)
• Renew Integrated Program-2 Inc
• Celia Teresa Robles, B.A.
• Alberto Saldana
• Malcolm Alexander Snell
• Southern California Indian Center
• Roger L Thrasher III
• Desirie Ann Vela
• Eugenio Venegas, MFT INTERN
• Western Dental Services, Inc.

• Community/Behavioral Health Agency in Highland Park, CA
• Providers in Highland Park, 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 3, 2012; 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.