Organization Active NPI

Angels Mental Health & Wellness Services P.C

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1306668025
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ANGELS MENTAL HEALTH & WELLNESS SERVICES P.C
Practice address
5757 W Century Blvd FL 6
Ste 650R
Los Angeles, CA 90045-6401
Phone
(888) 680-0863
Fax
(213) 805-8489
NPI assigned
Oct 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Mr. Oluwaseun Alabi
Title
Manger
Phone
(888) 680-0863

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5757 W Century Blvd FL 6
Ste 650R
Los Angeles, CA 90045-6401

Mailing address

5757 W Century Blvd FL 6
Ste 650R
Los Angeles, CA 90045-6401
Phone (888) 680-0863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241211004373 CA Part B Supplier - Clinic/Group Practice 6507392628 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

5757 W Century Blvd
Ste 650
Los Angeles, CA 90045
Phone (888) 680-0863

5757 W Century Blvd
Ste 650R
Los Angeles, CA 90045
Phone (213) 805-6164

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1306668025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 W CENTURY BLVD FL 6",
            "address_2": "STE 650R",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456401",
            "telephone_number": "888-680-0863",
            "fax_number": "213-805-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 W CENTURY BLVD FL 6",
            "address_2": "STE 650R",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900456401",
            "telephone_number": "888-680-0863",
            "fax_number": "213-805-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS MENTAL HEALTH & WELLNESS SERVICES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "ALABI",
        "authorized_official_first_name": "OLUWASEUN",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "888-680-0863",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "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 Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.