Active NPI
Dimitry Geller
- Addiction (Substance Use Disorder) Counselor
- Huntington Park, CA
National Provider Identifier
1497083133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2680 Saturn Ave Ste 180
Huntington Park, CA 90255-4568 - Phone
- (323) 589-5880
- NPI assigned
- Nov 18, 2009
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
2680 Saturn Ave Ste 180
Huntington Park, CA 90255-4568
Mailing address
8160 Manitoba St Apt 111
Playa del Rey, CA 90293-8639
Phone (323) 589-5880
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1497083133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8160 MANITOBA ST APT 111",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902938639",
"telephone_number": "323-589-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 SATURN AVE STE 180",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554568",
"telephone_number": "323-589-5880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLER",
"first_name": "DIMITRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.