Organization Active NPI

Hill Street Community Wellness Center

  • Methadone Clinic
  • Los Angeles, CA
National Provider Identifier
1194022707
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
HILL STREET COMMUNITY WELLNESS CENTER
Practice address
3130 S Hill St
Los Angeles, CA 90007-3817
Phone
(213) 749-5700
Fax
(213) 749-5710
NPI assigned
Feb 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Kimberley Donna Williams, RN, MPA, HS-BCP
Title
Program Director
Phone
(213) 749-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X CA Primary

Addresses

Primary practice location

3130 S Hill St
Los Angeles, CA 90007-3817

Mailing address

3130 S Hill St
Los Angeles, CA 90007-3817
Phone (213) 749-5700

National Provider Directory

National Provider Directory

Locations

3130 S Hill St
Los Angeles, CA 90007
Phone (213) 745-0150

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1194022707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073817",
            "telephone_number": "213-749-5700",
            "fax_number": "213-749-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 S HILL ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073817",
            "telephone_number": "213-749-5700",
            "fax_number": "213-749-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL STREET COMMUNITY WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "DONNA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "213-749-5700",
        "authorized_official_credential": "RN, MPA, HS-BCP"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CA",
            "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 Feb 16, 2011; 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.