Organization Active NPI

Beit T'Shuvah

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
National Provider Identifier
1396926754
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190326AN Issued in CA
Legal business name
BEIT T'SHUVAH
Practice address
8831 Venice Blvd
Los Angeles, CA 90034-3223
Phone
(310) 204-5200
Fax
(310) 838-3545
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Sergio Rizzo-Fontanesi, PHD
Title
Executive Director
Phone
(310) 204-5200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 190326AN CA
Substance Abuse Rehabilitation Facility 324500000X 190326AN CA Primary

Addresses

Primary practice location

8831 Venice Blvd
Los Angeles, CA 90034-3223

Mailing address

8831 Venice Blvd
Los Angeles, CA 90034-3223
Phone (310) 204-5200

National Provider Directory

National Provider Directory
Tax ID family
Beit T'Shuvah3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1396926754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343223",
            "telephone_number": "310-204-5200",
            "fax_number": "310-838-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343223",
            "telephone_number": "310-204-5200",
            "fax_number": "310-838-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEIT T'SHUVAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "RIZZO-FONTANESI",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "310-204-5200",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190326AN",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190326AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 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.