NPIMap

Organization Active NPI

La County Department of Mental Health

  • Rehabilitation Practitioner
  • Gardena, CA
National Provider Identifier
1508164328
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
LA COUNTY DEPARTMENT OF MENTAL HEALTH
Practice address
1300 W 155TH St
Ste. #103
Gardena, CA 90247-4048
Phone
(310) 512-8100
Fax
(310) 324-2111
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Mr. Don Wells, LCSW
Title
Program Head
Phone
(323) 241-6730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

1300 W 155TH St
Ste. #103
Gardena, CA 90247-4048

Mailing address

1300 W 155TH St
Ste. #103
Gardena, CA 90247-4048
Phone (310) 512-8100

National Provider Directory

National Provider Directory

Locations

1300 W 155th St
Ste 103
Gardena, CA 90247
Phone (310) 512-8100

Practitioners & affiliated clinicians

Practitioners 6

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": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1508164328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W 155TH ST",
            "address_2": "STE. #103",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474048",
            "telephone_number": "310-512-8100",
            "fax_number": "310-324-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 155TH ST",
            "address_2": "STE. #103",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474048",
            "telephone_number": "310-512-8100",
            "fax_number": "310-324-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA COUNTY DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PROGRAM HEAD",
        "authorized_official_telephone_number": "323-241-6730",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.