Organization Active NPI

Vista del Mar Child and Family Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1548024300
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
VISTA DEL MAR CHILD AND FAMILY SERVICES
Practice address
3200 Motor Ave
Los Angeles, CA 90034-3710
Phone
(310) 836-1223
NPI assigned
Feb 12, 2024
Organization subpart
Yes
Parent organization
VISTA DEL MAR CHILD AND FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Cheryl Carrington
Title
Dir Quality, Standards & Compliance
Phone
(310) 836-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

3200 Motor Ave
Los Angeles, CA 90034-3710

Mailing address

3200 Motor Ave
Los Angeles, CA 90034-3710
Phone (310) 836-1223

Other names 1

  • Vista Del Mar Child and Family Services SUD Outpatient Treatment Prog Other name

National Provider Directory

National Provider Directory
Tax ID family
Vista del Mar Child and Family Services10 organizations share this tax ID, including this one
Part of
Vista del Mar Child and Family Services

Other organizations with this tax ID 9

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

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": "1707696000000",
    "number": "1548024300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343710",
            "telephone_number": "310-836-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343710",
            "telephone_number": "310-836-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA DEL MAR CHILD AND FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISTA DEL MAR CHILD AND FAMILY SERVICES",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIR QUALITY, STANDARDS & COMPLIANCE",
        "authorized_official_telephone_number": "310-836-1223"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Del Mar Child and Family Services SUD Outpatient Treatment Prog",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 12, 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.

Verify at the official NPI Registry.