NPIMap

Organization Active NPI

Gateways Percy Village

  • Psychiatric Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1215066436
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
198600612 Issued in CA
Legal business name
GATEWAYS PERCY VILLAGE
Practice address
3455 Percy Street
Los Angeles, CA 90023
Phone
(323) 268-2100
Fax
(323) 268-2460
NPI assigned
Mar 5, 2007
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Mara Pelsman
Title
Ceo
Phone
(323) 644-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 198600612 CA Primary

Addresses

Primary practice location

3455 Percy Street
Los Angeles, CA 90023

Mailing address

1891 Effie Street
Los Angeles, CA 90026
Phone (323) 268-2100

National Provider Directory

National Provider Directory
Tax ID family
Gateways Satellite Outpatient Clinic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1215066436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 EFFIE STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90026",
            "telephone_number": "323-268-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PERCY STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90023",
            "telephone_number": "323-268-2100",
            "fax_number": "323-268-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAYS PERCY VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "PELSMAN",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-644-2000"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CA",
            "license": "198600612",
            "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 Mar 11, 2015; 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.