Active NPI
St. Anne'S
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1386450690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- ST. ANNE'S
- Practice address
- 155 N Occidental Blvd
Los Angeles, CA 90026-4641 - Phone
- (213) 812-9313
- NPI assigned
- Dec 10, 2024
- 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
- Jacpueline Zavala, LCSW
- Title
- Clinical and Administrative Site Su
- Phone
- (323) 381-2931
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Art Therapist | 221700000X |
Addresses
Primary practice location
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Mailing address
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone (213) 760-6987
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1386450690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N OCCIDENTAL BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264641",
"telephone_number": "213-760-6987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 N OCCIDENTAL BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900264641",
"telephone_number": "213-812-9313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. ANNE'S",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-10",
"last_updated": "2024-12-10",
"certification_date": "2024-12-10",
"status": "A",
"authorized_official_last_name": "ZAVALA",
"authorized_official_first_name": "JACPUELINE",
"authorized_official_title_or_position": "CLINICAL AND ADMINISTRATIVE SITE SU",
"authorized_official_telephone_number": "323-381-2931",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- St Vincent Preventative Family Care
- St Vincent Radiological Medical Group
- St Vincent Radiological Medical Group, Inc
- St Vincent Senior Citizen Nutrition Program
- St. Anne Medical Clinic Professional Corp
- St. Anne'S Family Services
- St. Anne'S Family Services
- St. Anne'S Family Services
- St. Anne'S Family Services
- St. Anne'S Maternity Home
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.