NPIMap

Organization Active NPI

Children's Hospital Los Angeles Mental Health

Doing business as Children's Hospital LA- QueensCare Health and Faith Partnership

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1518066299
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILDREN'S HOSPITAL LOS ANGELES MENTAL HEALTH
Doing business as
Children's Hospital LA- QueensCare Health and Faith Partnership
Practice address
4618 Fountain Ave
Los Angeles, CA 90029
Phone
(323) 669-4355
Fax
(323) 953-7300
NPI assigned
Sep 21, 2006
Last updated
Jul 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Cristina Lucia Sandoval, LCSWNPI 1194004861
Title
Program Manager
Phone
(323) 669-4355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4618 Fountain Ave
Los Angeles, CA 90029

Mailing address

950 S Grand Ave
2ND Floor South
Los Angeles, CA 90015-4202
Phone (323) 669-4302

Other names 1

  • Children's Hospital LA- QueensCare Health and Faith Partnership Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hollywood Presby Hosp Phcy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3242 W 8th St
Los Angeles, CA 90005
Phone (213) 365-1300

4448 York Blvd
Los Angeles, CA 90041
Phone (323) 344-5233

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1518066299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S GRAND AVE",
            "address_2": "2ND FLOOR SOUTH",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154202",
            "telephone_number": "323-669-4302",
            "fax_number": "323-906-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90029",
            "telephone_number": "323-669-4355",
            "fax_number": "323-953-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HOSPITAL LOS ANGELES MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "LUCIA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "323-669-4355",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital LA- QueensCare Health and Faith Partnership",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2018; 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.