NPIMap

Organization Active NPI

Los Angeles Centers for Alcohol and Drug Abuse

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1609286699
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
190100EN Issued in CA
Legal business name
LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE
Practice address
470 E 3Rd St
A
Los Angeles, CA 90013-1629
Phone
(213) 626-6411
Fax
(213) 626-8115
NPI assigned
Apr 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Authorized official

Name
Ms. Brenda Wiewel, LCSW
Title
Executive Director
Phone
(562) 906-2676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 190100EN CA Primary

Addresses

Primary practice location

470 E 3Rd St
A
Los Angeles, CA 90013-1629

Mailing address

11015 Bloomfield Ave
Santa Fe Springs, CA 90670-4601
Phone (562) 906-2676

Other identifiers 2

IdentifierTypeStateIssuer
190100ENOtherCADEPARTMENT HEALTH CARE SERVICES CERTIFICATION NUMBER
197564MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Los Angeles Center for Alcohol and Drug Abuse41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1609286699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11015 BLOOMFIELD AVE",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704601",
            "telephone_number": "562-906-2676",
            "fax_number": "562-906-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E 3RD ST",
            "address_2": "A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131629",
            "telephone_number": "213-626-6411",
            "fax_number": "213-626-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES CENTERS FOR ALCOHOL AND DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "WIEWEL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "562-906-2676",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "190100EN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT HEALTH CARE SERVICES CERTIFICATION NUMBER",
            "identifier": "190100EN",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197564",
            "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 Apr 30, 2014; 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.