Carlita Wynn

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

11133 Washington Blvd
Culver City, CA 90232-3918

Phone

(310) 895-2300

Fax

(310) 895-2395

NPI assigned

Nov 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Didi Hirsch Psychiatric Service

  • Community/Behavioral Health Agency
  • Culver City, CA
  • NPI 1023149077
  NPD (past)
• Didi Hirsch Psychiatric Service

  dba Didi Hirsch Mental Health Services

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1194035238
  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1225434137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304820",
            "telephone_number": "310-390-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323918",
            "telephone_number": "310-895-2300",
            "fax_number": "310-895-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "CARLITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Lamar Wright
• Lauren Wu, M.D.
• Abraham Kindie Wubeshaw
• Jasmine Yvonne Wyatt-Myers
• Alana Wyatt, PH.D.
• Troy Michael Wynn
• Charylene Shena Wyrick
• Tamar Wyte, PT
• Shannon Xiao
• Annabel Xiong

• Community Health Worker in Culver City, CA
• Providers in Culver City, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.