Organization Active NPI

California Health, Alcohol &. Drug Education Program, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1386991578
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2737 Issued in CA
Legal business name
CALIFORNIA HEALTH, ALCOHOL &. DRUG EDUCATION PROGRAM, INC.
Practice address
9702 South Holmes Ave
Los Angeles, CA 90002-3030
Phone
(323) 294-7662
NPI assigned
Aug 7, 2012
Last updated
Nov 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Authorized official

Name
George C Nze
Title
Executive Director
Phone
(951) 833-8426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2737 CA Primary

Addresses

Primary practice location

9702 South Holmes Ave
Los Angeles, CA 90002-3030

Mailing address

3756 Santa Rosalia Dr Ste 423
Los Angeles, CA 90008-3614
Phone (323) 294-7662

Other identifiers 1

IdentifierTypeStateIssuer
197015000MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
California Health Alcohol Drug Education Program Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9702 Holmes Ave
Los Angeles, CA 90002
Phone (323) 294-7662

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1386991578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR STE 423",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083614",
            "telephone_number": "323-294-7662",
            "fax_number": "323-294-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9702 SOUTH HOLMES AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900023030",
            "telephone_number": "323-294-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA HEALTH, ALCOHOL &. DRUG EDUCATION PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "NZE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "951-833-8426"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "2737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197015000",
            "state": "CA"
        }
    ],
    "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 Nov 30, 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.