Organization Active NPI

Tommy the Clown Foundation

  • Case Manager/Care Coordinator
  • Gardena, CA
National Provider Identifier
1215884606
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
TOMMY THE CLOWN FOUNDATION
Practice address
13626 S Normandie Ave
Gardena, CA 90249-2608
Phone
(323) 750-5555
NPI assigned
Mar 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Tommy Johnson
Title
Ceo, Executive Director
Phone
(323) 750-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

13626 S Normandie Ave
Gardena, CA 90249-2608

Mailing address

13626 S Normandie Ave
Gardena, CA 90249-2608

National Provider Directory

National Provider Directory

Locations

13626 S Normandie Ave
Gardena, CA 90249
Phone (310) 868-5103

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1215884606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13626 S NORMANDIE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13626 S NORMANDIE AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492608",
            "telephone_number": "323-750-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMMY THE CLOWN FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "CEO, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-750-5555"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.