Organization Active NPI

Gift of Life Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • La Crescenta, CA
National Provider Identifier
1265290852
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GIFT OF LIFE RECOVERY
Practice address
2626 Foothill Blvd Ste 260
La Crescenta, CA 91214-3569
Phone
(818) 605-2299
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Edgar Shakhpazyan
Title
President
Phone
(818) 605-2299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2626 Foothill Blvd Ste 260
La Crescenta, CA 91214-3569

Mailing address

2626 Foothill Blvd # 260
La Crescenta, CA 91214-3569
Phone (818) 605-2299

National Provider Directory

National Provider Directory

Locations

2626 Foothill Blvd
Ste 260
La Crescenta, CA 91214
Phone (818) 605-2299

2626 Foothill Blvd
#260
La Crescenta, CA 91214

7039 Reseda Blvd
Reseda, CA 91335

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1265290852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 FOOTHILL BLVD # 260",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143569",
            "telephone_number": "818-605-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 FOOTHILL BLVD STE 260",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912143569",
            "telephone_number": "818-605-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFT OF LIFE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "SHAKHPAZYAN",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-605-2299"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.