NPIMap

Organization Active NPI

Special Service for Groups, Inc.

  • Adult Mental Health Clinic/Center
  • Long Beach, CA
National Provider Identifier
1487863221
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SPECIAL SERVICE FOR GROUPS, INC.
Practice address
3530 Atlantic Ave
Suite 210
Long Beach, CA 90807-4569
Phone
(562) 424-1886
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Herbert Hatanaka
Title
Executive Director
Phone
(213) 553-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3530 Atlantic Ave
Suite 210
Long Beach, CA 90807-4569

Mailing address

905 E 8TH St
Los Angeles, CA 90021-1848
Phone (213) 553-1800

Other names 1

  • SSG-PACS-LB (Pacific Asian Counseling Services) Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031113000561 CA Part B Supplier - Clinic/Group Practice 2769396886 Receives reassigned benefits from 130 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Covina, CA; Van Nuys, CA; Palmdale, CA; Los Angeles, CA; Long Beach, CA; Gardena, CA; Cerritos, CA; Alhambra, CA

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Special Service for GRP40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1487863221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E 8TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211848",
            "telephone_number": "213-553-1800",
            "fax_number": "213-553-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 ATLANTIC AVE",
            "address_2": "SUITE 210",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074569",
            "telephone_number": "562-424-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SERVICE FOR GROUPS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "HATANAKA",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-553-1800"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSG-PACS-LB (Pacific Asian Counseling Services)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SSG-PACS-LB (Pacific Asian Counseling Services)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.