NPIMap

Organization Active NPI

Dixon Recovery Institute, Inc.

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1548498280
Registry record updated Jul 27, 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
DIXON RECOVERY INSTITUTE, INC.
Practice address
3124 7TH Avenue
Los Angeles, CA 90018-1819
Phone
(323) 988-3744
Fax
(323) 988-9672
NPI assigned
Jul 1, 2009
Last updated
Jul 27, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
DIXON RECOVERY INSTITUTE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Authorized official

Name
Ronda 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

3124 7TH Avenue
Los Angeles, CA 90018-1819

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
197336OtherCADRUG MEDI-CAL

Other names 1

  • DRI/Leimert Park Tri-C Other name

National Provider Directory

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

Other organizations with this tax ID 12

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

Locations

3124 7th Ave
Los Angeles, CA 90018
Phone (323) 988-3744

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343347200000",
    "number": "1548498280",
    "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",
            "fax_number": "323-988-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 7TH AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900181819",
            "telephone_number": "323-988-3744",
            "fax_number": "323-988-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXON RECOVERY INSTITUTE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIXON RECOVERY INSTITUTE, INC.",
        "enumeration_date": "2009-07-01",
        "last_updated": "2012-07-27",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-988-3744",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190622AN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDI-CAL",
            "identifier": "197336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRI/Leimert Park Tri-C",
            "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 Jul 27, 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.