Organization Active NPI

Personal Involvement Center, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1174641724
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PERSONAL INVOLVEMENT CENTER, INC.
Practice address
8220 S San Pedro St
Los Angeles, CA 90003-3030
Phone
(866) 508-0311
Fax
(323) 750-0018
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Mrs. Maxine Perryman-Diggs, M.A.
Title
Ceo
Phone
(866) 508-0311

Specialties & licenses 1

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

Addresses

Primary practice location

8220 S San Pedro St
Los Angeles, CA 90003-3030

Mailing address

PO Box 514839
Los Angeles, CA 90051-2839
Phone (866) 508-0311

Other identifiers 1

IdentifierTypeStateIssuer
7542AMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Personal Involvement Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

8220 S San Pedro St
Los Angeles, CA 90003
Phone (323) 305-7939

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1174641724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514839",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900512839",
            "telephone_number": "866-508-0311",
            "fax_number": "323-750-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900033030",
            "telephone_number": "866-508-0311",
            "fax_number": "323-750-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL INVOLVEMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "PERRYMAN-DIGGS",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-508-0311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7542A",
            "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 Nov 30, 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.