Active NPI
NPI 1407723471
- Community Health Worker
- Los Angeles, CA
National Provider Identifier
1407723471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 4876 Gleason St
Los Angeles, CA 90022-1680 - Phone
- (213) 480-4200
- NPI assigned
- Oct 22, 2025
- Last updated
- Oct 22, 2025
- 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
- Nathan Arias
- Title
- President/Ceo
- Phone
- (213) 480-4200
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Health Educator | 174H00000X | NU |
Addresses
Primary practice location
4876 Gleason St
Los Angeles, CA 90022-1680
Mailing address
222 N Virgil Ave
Los Angeles, CA 90004-3622
Phone (212) 480-4200
National Provider Directory
National Provider DirectoryLocations
222 N Virgil Ave
Los Angeles, CA 90004
4876 Gleason St
Los Angeles, CA 90022
Phone (213) 480-4200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1407723471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N VIRGIL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043622",
"telephone_number": "212-480-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4876 GLEASON ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221680",
"telephone_number": "213-480-4200"
}
],
"practiceLocations": [],
"basic": {
"organizational_subpart": "NO",
"enumeration_date": "2025-10-22",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "ARIAS",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "213-480-4200"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.