Crenshaw Entrepreneurial Academy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CRENSHAW ENTREPRENEURIAL ACADEMY

Practice address

5125 Crenshaw Blvd
Los Angeles, CA 90043-1853

Phone

(424) 450-7412

NPI assigned

Aug 14, 2022

Last updated

Aug 14, 2022By 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

Tia Lopez

Title

Ceo

Phone

(424) 450-7412

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1660435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660435200000",
    "number": "1205564549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W 1ST ST UNIT 101",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907312806",
            "telephone_number": "424-450-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431853",
            "telephone_number": "424-450-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRENSHAW ENTREPRENEURIAL ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-14",
        "last_updated": "2022-08-14",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-450-7412"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Crenshawentrepreneurial.education",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "wesite",
            "address_1": "5125 Crenshaw Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900431853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leanne Margaret Cremin
• Crenshaw Arf LLC
• Crenshaw Blvd Imaging Center, Inc. (Los Angeles Imaging Center)
• Crenshaw Community Center LLC (Crenshaw Community Center)
• Crenshaw Dental Group
• Crenshaw Family Medical Center, Inc
• Crenshaw Nursing Home LLC (Crenshaw Nursing Home)
• Crenshaw Pharmacy Inc
• Crenshaw Pharmcare Inc (Stocker RX Pharmacy)
• Crenshaw West Adams Leimert Consortiem (Families In New Directions)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2022; 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.