NPIMap

Organization Active NPI

Wellnest Emotional Health & Wellness

Doing business as Wellnest - Leimert Park

  • Community/Behavioral Health Agency
  • Los Angeles, CA
National Provider Identifier
1639293574
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLNEST EMOTIONAL HEALTH & WELLNESS
Doing business as
Wellnest - Leimert Park
Practice address
4401 Crenshaw Blvd Ste 300
Los Angeles, CA 90043-1227
Phone
(323) 290-8360
NPI assigned
Mar 17, 2007
Last updated
Jul 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Authorized official

Name
Socorro Gertmenian, PHD, MLS
Title
Director of QMC
Phone
(323) 373-2400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4401 Crenshaw Blvd Ste 300
Los Angeles, CA 90043-1227

Mailing address

3031 S Vermont Ave
Los Angeles, CA 90007-3033

Other practice location 1

4401 Crenshaw Blvd
Suite 300
Los Angeles, CA 90043-1227
Phone (323) 290-8360 ext. 4200

Other identifiers 1

IdentifierTypeStateIssuer
CT052192MedicaidCA

Other names 1

  • Wellnest - Leimert Park Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address contact@Wellnestla.org Direct
Direct Messaging Address contact@Wellnestla.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Avis and Mark Ridley-Thomas Life Learning Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

4401 Crenshaw Blvd
Los Angeles, CA 90043
Phone (323) 290-8360

4401 Crenshaw Blvd
Ste 300
View Park, CA 90043
Phone (323) 290-8360

Practitioners & affiliated clinicians

Practitioners 157

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.

View all 157

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785456000000",
    "number": "1639293574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900073033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CRENSHAW BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431227",
            "telephone_number": "323-290-8360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Crenshaw Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900431227",
            "country_code": "US",
            "telephone_number": "323-290-8360 x4200",
            "fax_number": "323-290-8366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLNEST EMOTIONAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A",
        "authorized_official_last_name": "GERTMENIAN",
        "authorized_official_first_name": "SOCORRO",
        "authorized_official_title_or_position": "DIRECTOR OF QMC",
        "authorized_official_telephone_number": "323-373-2400",
        "authorized_official_credential": "PHD, MLS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CT052192",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@Wellnestla.org",
            "affiliation": "N",
            "endpointDescription": "Organization's email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4401 Crenshaw Blvd",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900431227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@Wellnestla.org",
            "affiliation": "N",
            "endpointDescription": "Organization's Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4401 Crenshaw Blvd Ste 300",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900431200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wellnest - Leimert Park",
            "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 Jul 31, 2026; 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.