Active NPI
Shields for Families
- Community/Behavioral Health Agency
- Los Angeles, CA
National Provider Identifier
1336378009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SHIELDS FOR FAMILIES
- Practice address
- 11601 S Western Ave
Los Angeles, CA 90047-5006 - Phone
- (323) 242-5000
- Fax
- (323) 242-5011
- NPI assigned
- Jul 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Icenhower, PH.D.
- Title
- Chief Executive Officer
- Phone
- (323) 424-5000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
11601 S Western Ave
Los Angeles, CA 90047-5006
Mailing address
11601 S Western Ave
Los Angeles, CA 90047-5006
Phone (323) 242-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197388 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmadeira@shieldsforfamilies.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110216000397 | CA | Part B Supplier - Clinic/Group Practice | 3375723869 |
Receives reassigned benefits from 1 practitioner 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Los Angeles, CA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1659506145
O20110216000397
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761609600000",
"number": "1336378009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900475006",
"telephone_number": "323-242-5000",
"fax_number": "323-242-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900475006",
"telephone_number": "323-242-5000",
"fax_number": "323-242-5011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIELDS FOR FAMILIES",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-02",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A",
"authorized_official_last_name": "ICENHOWER",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "323-424-5000",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197388",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmadeira@shieldsforfamilies.org",
"affiliation": "N",
"endpointDescription": "Senior Director of Programs",
"address_1": "11601 S Western Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900475006",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 28, 2025; 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.