Organization Active NPI

Los Angeles Athletic Alternative Program

  • Community/Behavioral Health Agency
  • Culver City, CA
National Provider Identifier
1629470190
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LOS ANGELES ATHLETIC ALTERNATIVE PROGRAM
Practice address
8450 Higuera St
Culver City, CA 90232-2520
Phone
(310) 204-1980
Fax
(310) 204-6484
NPI assigned
Sep 16, 2014
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Ms. Tanya Berenson
Title
Ceo
Phone
(310) 204-1980

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

8450 Higuera St
Culver City, CA 90232-2520

Mailing address

8450 Higuera St
Culver City, CA 90232-2520
Phone (310) 204-1980

National Provider Directory

National Provider Directory

Locations

8450 Higuera St
Culver City, CA 90232
Phone (310) 204-1980

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1629470190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 HIGUERA ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322520",
            "telephone_number": "310-204-1980",
            "fax_number": "310-204-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 HIGUERA ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322520",
            "telephone_number": "310-204-1980",
            "fax_number": "310-204-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES ATHLETIC ALTERNATIVE PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "BERENSON",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-204-1980",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.