NPIMap

Organization Active NPI

Drew Child Development Corporation

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1194926022
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1245407 Issued in CA
Legal business name
DREW CHILD DEVELOPMENT CORPORATION
Practice address
1770 E. 118TH Street
Los Angeles, CA 90059-2518
Phone
(323) 249-2950
Fax
(323) 249-2970
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Michelle Yvonne Urizar, LCSW
Title
Director of Mental Health & Child W
Phone
(323) 249-2950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 191593453 CA
Community/Behavioral Health Agency 251S00000X 1245407 CA Primary

Addresses

Primary practice location

1770 E. 118TH Street
Los Angeles, CA 90059-2518

Mailing address

1770 E. 118TH Street
Los Angeles, CA 90059-2518
Phone (323) 249-2950

Other identifiers 1

IdentifierTypeStateIssuer
01245407OtherCAMEDI-CAL PROVIDER ID #

National Provider Directory

National Provider Directory
Tax ID family
Drew Child Development Corp2 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.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1194926022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E. 118TH STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592518",
            "telephone_number": "323-249-2950",
            "fax_number": "323-249-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E. 118TH STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592518",
            "telephone_number": "323-249-2950",
            "fax_number": "323-249-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW CHILD DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "URIZAR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "DIRECTOR OF MENTAL HEALTH & CHILD W",
        "authorized_official_telephone_number": "323-249-2950",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "191593453",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1245407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER ID #",
            "identifier": "01245407",
            "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 Jan 4, 2019; 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.