Active NPI
Children'S Bureau
- Mental Illness Community Based Residential Treatment Facility
- Los Angeles, CA
National Provider Identifier
1487986980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 21342
- Legal business name
- CHILDREN'S BUREAU
- Practice address
- 1910 Magnolia Ave
Los Angeles, CA 90007-1220 - Phone
- (213) 342-0100
- NPI assigned
- Feb 8, 2010
- 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
- Mr. Martin Ribiero, MFT
- Title
- Supervisor
- Phone
- (213) 342-0000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 21342 | CA | Primary |
Addresses
Primary practice location
1910 Magnolia Ave
Los Angeles, CA 90007-1220
Mailing address
1910 Magnolia Ave
Los Angeles, CA 90007-1220
Phone (213) 242-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7300 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265587200000",
"number": "1487986980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 MAGNOLIA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900071220",
"telephone_number": "213-242-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 MAGNOLIA AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900071220",
"telephone_number": "213-342-0100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S BUREAU",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-08",
"last_updated": "2010-02-08",
"status": "A",
"authorized_official_last_name": "RIBIERO",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "SUPERVISOR",
"authorized_official_telephone_number": "213-342-0000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "CA",
"license": "21342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7300",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- La Keishia Nicole Childers, MSW
- Robert Valente Childers
- Childhelp, Inc.
- Children & Adults Med GR Inc
- Children Hospital Los Angeles Mental Health
- Children'S Health Alliance of Medical Providers, Inc.
- Children'S Hospital
- Children'S Hospital Los Angeles
- Children'S Hospital Los Angeles
- Children'S Hospital Los Angeles
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.