Individual provider Active NPI

Herman Avilez, MA (CSULA)

  • Addiction (Substance Use Disorder) Counselor
  • Montebello, CA
National Provider Identifier
1306015912
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
3316 W Beverly Blvd
Montebello, CA 90640-1537
Phone
(323) 722-4529
Fax
(323) 722-4450
NPI assigned
Feb 27, 2008
Last updated
Mar 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

3316 W Beverly Blvd
Montebello, CA 90640-1537

Mailing address

2568 S Myrtle Ave
Monrovia, CA 91016-5055
Phone (323) 440-0733

Other names 1

  • Mr. Herman Avilez Professional name

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1306015912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 S MYRTLE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165055",
            "telephone_number": "323-440-0733",
            "fax_number": "323-722-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401537",
            "telephone_number": "323-722-4529",
            "fax_number": "323-722-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILEZ",
        "first_name": "HERMAN",
        "name_prefix": "Mr.",
        "credential": "MA (CSULA)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HERMAN",
            "last_name": "AVILEZ",
            "prefix": "MR.",
            "credential": "CERTIFICATION DRUG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.