Organization Active NPI

California Drug Treatment Program

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1417378514
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1275668105 Issued in CA
Legal business name
CALIFORNIA DRUG TREATMENT PROGRAM
Practice address
9001 S Vermont Ave
Los Angeles, CA 90044-4835
Phone
(323) 756-9933
Fax
(323) 756-9515
NPI assigned
Dec 17, 2013
Last updated
Dec 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Carol Schwartze, CCDC
Title
Program Director
Phone
(323) 756-9933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1275668105 CA Primary

Addresses

Primary practice location

9001 S Vermont Ave
Los Angeles, CA 90044-4835

Mailing address

9001 S Vermont Ave
Los Angeles, CA 90044-4835
Phone (323) 756-9933

Other identifiers 1

IdentifierTypeStateIssuer
1275668105OtherCAMEDICAL

National Provider Directory

National Provider Directory
Tax ID family
California Drug Treatment Program2 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

9001 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 756-9933

NPI Registry JSON

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

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1417378514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9001 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444835",
            "telephone_number": "323-756-9933",
            "fax_number": "323-756-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444835",
            "telephone_number": "323-756-9933",
            "fax_number": "323-756-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA DRUG TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "323-756-9933",
        "authorized_official_credential": "CCDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "1275668105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1275668105",
            "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 Dec 17, 2013; 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.