NPIMap

Organization Active NPI

Total Family Support Clinic

  • Case Management Agency
  • Santa Monica, CA
National Provider Identifier
1346590072
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TOTAL FAMILY SUPPORT CLINIC
Practice address
2019 Pico Blvd
Santa Monica, CA 90405-1731
Phone
(213) 213-0581
Fax
(213) 213-0580
NPI assigned
Sep 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Authorized official

Name
Marina Verkhovsky, MS
Title
Director of HR
Phone
(213) 213-0581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2019 Pico Blvd
Santa Monica, CA 90405-1731

Mailing address

830 S Olive St
Los Angeles, CA 90014-3006
Phone (213) 213-0581

Other identifiers 1

IdentifierTypeStateIssuer
197464MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
TFSC-Encino33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347235200000",
    "number": "1346590072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S OLIVE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900143006",
            "telephone_number": "213-213-0581",
            "fax_number": "213-213-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 PICO BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051731",
            "telephone_number": "213-213-0581",
            "fax_number": "213-213-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FAMILY SUPPORT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A",
        "authorized_official_last_name": "VERKHOVSKY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "DIRECTOR OF HR",
        "authorized_official_telephone_number": "213-213-0581",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197464",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.