Active NPI
Gap Behavioral Health Services
- Psychiatric/Mental Health Nurse Practitioner
- Inglewood, CA
National Provider Identifier
1497519300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GAP BEHAVIORAL HEALTH SERVICES
- Practice address
- 1626 Centinela Ave Ste 100
Inglewood, CA 90302-6930 - Phone
- (409) 356-9778
- NPI assigned
- Feb 12, 2024
- 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
- Dr. Jovita C Ezirim-Salamialofojeq, NP
- Title
- President
- Phone
- (409) 356-9778
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1626 Centinela Ave Ste 100
Inglewood, CA 90302-6930
Mailing address
PO Box 2354
Inglewood, CA 90305-0354
Other names 1
- GAP BEHAVIROAL HEALTH SERVICES INC
National Provider Directory
National Provider DirectoryLocations
1626 Centinela Ave
Ste 100
Inglewood, CA 90302
Phone (323) 285-0882
1626 Centinela Ave
Inglewood, CA 90302
Phone (323) 517-6188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1497519300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2354",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903050354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 CENTINELA AVE STE 100",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903026930",
"telephone_number": "409-356-9778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAP BEHAVIORAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-12",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A",
"authorized_official_last_name": "EZIRIM-SALAMIALOFOJEQ",
"authorized_official_first_name": "JOVITA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "409-356-9778",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "GAP BEHAVIROAL HEALTH SERVICES INC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "GAP BEHAVIROAL HEALTH SERVICES INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.