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Doing business as Aviva

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Los Angeles, CA
National Provider Identifier
1619400330
Registry record updated Apr 10, 2017
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Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
HAMBURGER HOME
Doing business as
Aviva
Practice address
1701 Camino Palmero St
Los Angeles, CA 90046-2902
Phone
(323) 876-0550
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Mrs. Amanda Smith, LMFT
Title
Assistant VP
Phone
(323) 876-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

1701 Camino Palmero St
Los Angeles, CA 90046-2902

Mailing address

1701 Camino Palmero St
Los Angeles, CA 90046-2902
Phone (323) 876-0550

Other names 1

  • Aviva Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aviva Family and Children's Services12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1619400330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 CAMINO PALMERO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462902",
            "telephone_number": "323-876-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 CAMINO PALMERO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462902",
            "telephone_number": "323-876-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMBURGER HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "ASSISTANT VP",
        "authorized_official_telephone_number": "323-876-0550",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aviva",
            "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 Apr 10, 2017; 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.