Active NPI
Erasmus John Knox
- Addiction (Substance Use Disorder) Counselor
- Van Nuys, CA
National Provider Identifier
1376059915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1281521017
- Practice address
- 14757 Cohasset Street
Van Nuys, CA 91405-1802 - Phone
- (818) 826-1999
- NPI assigned
- Dec 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1281521017 | CA | Primary |
Addresses
Primary practice location
14757 Cohasset Street
Van Nuys, CA 91405-1802
Mailing address
14757 Cohasset St
Van Nuys, CA 91405-1802
Phone (818) 826-1999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1281521017 | Other | CA | CCAPP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1281521017 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513641600000",
"number": "1376059915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14757 COHASSET ST",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051802",
"telephone_number": "818-826-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14757 COHASSET STREET",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914051802",
"telephone_number": "818-826-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "ERASMUS",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-19",
"last_updated": "2017-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1281521017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP",
"identifier": "R1281521017",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.