Active NPI
Beit T'Shuvah
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
National Provider Identifier
1396926754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 190326AN
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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'Shuvah
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Los Angeles, CA
- NPI 1598633695
-
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
- NPI 1922239425
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.