Active NPI
Annette Ahumada
- Addiction (Substance Use Disorder) Counselor
- Bellflower, CA
National Provider Identifier
1407215403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RI-A1404241010
- Practice address
- 16314 Cornuta Ave
Bellflower, CA 90706-4814 - Phone
- (562) 461-9272
- NPI assigned
- Feb 18, 2016
- Sex
- Female
- 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 | RI-A1404241010 | CA | Primary |
Addresses
Primary practice location
16314 Cornuta Ave
Bellflower, CA 90706-4814
Mailing address
16314 Cornuta Ave
Bellflower, CA 90706-4814
Phone (562) 461-9272
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 |
|---|---|---|---|
| RI-A1404241010 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| Southern California Alcohol & Drug Programs, Inc. | Past | Accepting new patients |
Interoperability endpoints
- annetteahumada-scadpinc@lacsapc.netsmartdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Alhambra, CA
- NPI 1700090834
-
- Children's Substance Abuse Rehabilitation Facility
- Bellflower, CA
- NPI 1538258777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1407215403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16314 CORNUTA AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907064814",
"telephone_number": "562-461-9272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16314 CORNUTA AVE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907064814",
"telephone_number": "562-461-9272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHUMADA",
"first_name": "ANNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-18",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RI-A1404241010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.