NPIMap

Organization Active NPI

Amanecer Community Counseling Service, a Non-Profit Corporation

  • Health Maintenance Organization
  • Los Angeles, CA
National Provider Identifier
1336548189
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
AMANECER COMMUNITY COUNSELING SERVICE, A NON-PROFIT CORPORATION
Practice address
1200 Wilshire Blvd 200, 210, Suite 300
Los Angeles, CA 90017-1934
Phone
(213) 481-7464
Fax
(213) 481-7147
NPI assigned
Aug 18, 2014
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Teddie Valenzuela
Title
Executive Director
Phone
(213) 481-7464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1200 Wilshire Blvd 200, 210, Suite 300
Los Angeles, CA 90017-1934

Mailing address

1200 Wilshire Blvd 200, 210, Suite 300
Los Angeles, CA 90017-1934
Phone (213) 481-7464

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling SE3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 Wilshire Blvd
Ste 300
Los Angeles, CA 90017

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1336548189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WILSHIRE BLVD 200, 210, SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171934",
            "telephone_number": "213-481-7464",
            "fax_number": "213-481-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WILSHIRE BLVD 200, 210, SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171934",
            "telephone_number": "213-481-7464",
            "fax_number": "213-481-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANECER COMMUNITY COUNSELING SERVICE, A NON-PROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "TEDDIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-481-7464"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "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 Sep 15, 2021; 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.