Organization Active NPI

Clark Community Development

  • Case Management Agency
  • Los Angeles, CA
National Provider Identifier
1225970940
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CLARK COMMUNITY DEVELOPMENT
Practice address
6525 S Western Ave
Los Angeles, CA 90047-1812
Phone
(323) 310-6381
NPI assigned
Apr 9, 2026
Last updated
Apr 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Mr. Adrian Tafoya, LCSW
Title
Consultant / Clinical Director
Phone
(310) 866-6703

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

6525 S Western Ave
Los Angeles, CA 90047-1812

Mailing address

4465 Wawona St
Los Angeles, CA 90065-5133
Phone (323) 310-6381

National Provider Directory

National Provider Directory

Locations

6525 S Western Ave
Los Angeles, CA 90047
Phone (323) 310-6381

NPI Registry JSON

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

{
    "created_epoch": "1775692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1225970940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 WAWONA ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900655133",
            "telephone_number": "323-310-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900471812",
            "telephone_number": "323-310-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COMMUNITY DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "TAFOYA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "CONSULTANT / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "310-866-6703",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 9, 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.