Active NPI
Diane Linares Rose
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1255465431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 4920 S. Avalon Blvd.
Baart Clinic
Los Angeles, CA 90011 - Phone
- (323) 235-5035
- Fax
- (323) 235-2023
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
4920 S. Avalon Blvd.
Baart Clinic
Los Angeles, CA 90011
Mailing address
1440 W. 19TH Street
Apt# a
Long Beach, CA 90810
Phone (562) 432-7447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255465431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 W. 19TH STREET",
"address_2": "APT# A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90810",
"telephone_number": "562-432-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 S. AVALON BLVD.",
"address_2": "BAART CLINIC",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90011",
"telephone_number": "323-235-5035",
"fax_number": "323-235-2023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "DIANE",
"middle_name": "LINARES",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.