NPIMap

Organization Active NPI

Hope Street

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1508131772
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190622AN Issued in CA
Legal business name
HOPE STREET
Practice address
320 W 15TH St
2ND Floor
Los Angeles, CA 90015-3007
Phone
(323) 344-7465
NPI assigned
Mar 20, 2012
Organization subpart
Yes
Parent organization
DIXON RECOVERY INSTITUTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Ms. Ronda Renee Dixon, JD
Title
Executive Director
Phone
(323) 988-3744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190622AN CA Primary

Addresses

Primary practice location

320 W 15TH St
2ND Floor
Los Angeles, CA 90015-3007

Mailing address

4715 Crenshaw Blvd
Los Angeles, CA 90043-1233
Phone (323) 988-3744

Other identifiers 1

IdentifierTypeStateIssuer
197336MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Hope Street13 organizations share this tax ID, including this one
Part of
Hope Street

Other organizations with this tax ID 12

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

Locations

320 W 15th St
Fl 2
Los Angeles, CA 90015
Phone (323) 344-7465

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1508131772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431233",
            "telephone_number": "323-988-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W 15TH ST",
            "address_2": "2ND FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153007",
            "telephone_number": "323-344-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE STREET",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIXON RECOVERY INSTITUTE, INC.",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-988-3744",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190622AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.