Organization Active NPI

God'S Property Sober Living Foundation

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1245637362
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GOD'S PROPERTY SOBER LIVING FOUNDATION
Practice address
1704 W Manchester Ave
Suite 210
Los Angeles, CA 90047-3063
Phone
(323) 305-1538
Fax
(323) 305-1776
NPI assigned
Dec 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Mr. Steven Derrick Fleming
Title
President
Phone
(323) 420-7345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1704 W Manchester Ave
Suite 210
Los Angeles, CA 90047-3063

Mailing address

1704 W Manchester Ave
Suite 210
Los Angeles, CA 90047-3063
Phone (323) 305-1538

National Provider Directory

National Provider Directory

Locations

1704 W Manchester Ave
Ste 210
Los Angeles, CA 90047
Phone (323) 305-1538

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1245637362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE",
            "address_2": "SUITE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473063",
            "telephone_number": "323-305-1538",
            "fax_number": "323-305-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE",
            "address_2": "SUITE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473063",
            "telephone_number": "323-305-1538",
            "fax_number": "323-305-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOD'S PROPERTY SOBER LIVING FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DERRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-420-7345",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Dec 5, 2014; 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.