NPIMap

Organization Active NPI

Prototypes Centers for Innovation in Health, Mental Health and Social

  • Community/Behavioral Health Agency
  • El Monte, CA
National Provider Identifier
1508055971
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL
Practice address
11001 E. Valley Mall
Suite 300
El Monte, CA 91731-2620
Phone
(626) 442-0710
Fax
(626) 442-8381
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Ms. Cassandra Loch, LCSW, MBA
Title
President, Ceo
Phone
(213) 542-3838

Specialties & licenses 1

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

Addresses

Primary practice location

11001 E. Valley Mall
Suite 300
El Monte, CA 91731-2620

Mailing address

1000 N Alameda St
Suite 390
Los Angeles, CA 90012-1804
Phone (213) 542-3838

Other identifiers 1

IdentifierTypeStateIssuer
7370POtherCALA COUNTY DMH

Other names 1

  • Prototypes Centers for Innovation in Health, Mental Health and Social Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110305000022 CA Part B Supplier - Clinic/Group Practice 6608058177 Receives reassigned benefits from 1 practitioner
6 other NPIs on this enrollment
Practice locations: Pasadena, CA; Pomona, CA

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Locations

1000 N Alameda St
Ste 390
Los Angeles, CA 90012
Phone (213) 542-3838

Practitioners & affiliated clinicians

Practitioners 2

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1508055971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N ALAMEDA ST",
            "address_2": "SUITE 390",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121804",
            "telephone_number": "213-542-3838",
            "fax_number": "213-225-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 E. VALLEY MALL",
            "address_2": "SUITE 300",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312620",
            "telephone_number": "626-442-0710",
            "fax_number": "626-442-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTOTYPES CENTERS FOR INNOVATION IN HEALTH, MENTAL HEALTH AND SOCIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "LOCH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "213-542-3838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA COUNTY DMH",
            "identifier": "7370P",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prototypes Centers for Innovation in Health, Mental Health and Social",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.