NPIMap

Organization Active NPI

Kedren Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
National Provider Identifier
1649614843
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
930000028 Issued in CA
Legal business name
KEDREN COMMUNITY MENTAL HEALTH CENTER
Practice address
1200 Venice Blvd
Los Angeles, CA 90006-5518
Phone
(323) 802-0264
Fax
(323) 802-0264
NPI assigned
Apr 18, 2013
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KEDREN COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Hilda Rodriguez
Title
Director of Billing Services
Phone
(323) 802-0264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 930000028 CA Primary

Addresses

Primary practice location

1200 Venice Blvd
Los Angeles, CA 90006-5518

Mailing address

4211 Avalon Blvd
HR Department
Los Angeles, CA 90011-5622
Phone (323) 582-2251

National Provider Directory

National Provider Directory
Tax ID family
Kedren Community Care Clinic - Mobile Unit8 organizations share this tax ID, including this one
Part of
Kedren Community Care Clinic - Mobile Unit

Other organizations with this tax ID 7

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

Locations

1200 Venice Blvd
Los Angeles, CA 90006
Phone (323) 802-0264

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

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": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1649614843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 AVALON BLVD",
            "address_2": "HR DEPARTMENT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900115622",
            "telephone_number": "323-582-2251",
            "fax_number": "323-582-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065518",
            "telephone_number": "323-802-0264",
            "fax_number": "323-802-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEDREN COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEDREN COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2013-04-18",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
        "authorized_official_telephone_number": "323-802-0264"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "930000028",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 10, 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.