Organization Active NPI

Ladera Education Institute

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Inglewood, CA
National Provider Identifier
1285127183
Registry record updated Mar 19, 2020
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
LADERA EDUCATION INSTITUTE
Practice address
601 Grace Ave
Inglewood, CA 90301-1306
Phone
(310) 910-0230
Fax
(484) 227-8419
NPI assigned
Jun 14, 2018
Last updated
Mar 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Authorized official

Name
Mr. Paul Radke
Title
Treasurer
Phone
(310) 641-0870

Specialties & licenses 1

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

Addresses

Primary practice location

601 Grace Ave
Inglewood, CA 90301-1306

Mailing address

601 Grace Ave
Inglewood, CA 90301-1306
Phone (310) 910-0230

Other names 1

  • Casa Ladera Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1285127183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 GRACE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011306",
            "telephone_number": "310-910-0230",
            "fax_number": "310-641-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 GRACE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011306",
            "telephone_number": "310-910-0230",
            "fax_number": "484-227-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADERA EDUCATION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "RADKE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "310-641-0870",
        "authorized_official_name_prefix": "Mr."
    },
    "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": [
        {
            "organization_name": "Casa Ladera",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.