NPIMap

Organization Active NPI

Bernie'S Lil Women Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Reseda, CA
National Provider Identifier
1366429185
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190472AN Issued in CA
Legal business name
BERNIE'S LIL WOMEN CENTER, INC.
Practice address
8042 Yolanda Ave
Reseda, CA 91335-1257
Phone
(213) 280-1012
Fax
(323) 563-7087
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Bernadine Goudeau
Title
President/Ceo
Phone
(213) 280-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190472AN CA Primary

Addresses

Primary practice location

8042 Yolanda Ave
Reseda, CA 91335-1257

Mailing address

942 E 116TH St
Los Angeles, CA 90059-1602
Phone (213) 280-1012

Other identifiers 1

IdentifierTypeStateIssuer
7118MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Bernie'S Lil Women Center Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366429185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 E 116TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900591602",
            "telephone_number": "213-280-1012",
            "fax_number": "323-563-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8042 YOLANDA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351257",
            "telephone_number": "213-280-1012",
            "fax_number": "323-563-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNIE'S LIL WOMEN CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOUDEAU",
        "authorized_official_first_name": "BERNADINE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "213-280-1012",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190472AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7118",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.