Organization Active NPI

Personal Involvement Center, Inc.

  • Community/Behavioral Health Agency
  • Harbor City, CA
National Provider Identifier
1649664491
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PERSONAL INVOLVEMENT CENTER, INC.
Practice address
24404 South Vermont Ave
Suite 200
Harbor City, CA 90710-2321
Phone
(866) 508-0311
Fax
(323) 778-0485
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Authorized official

Name
Mrs. Maxine Diggs, M.A.
Title
Chief Executive Officer
Phone
(866) 508-0311

Specialties & licenses 1

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

Addresses

Primary practice location

24404 South Vermont Ave
Suite 200
Harbor City, CA 90710-2321

Mailing address

PO Box 514839
Los Angeles, CA 90051-2839
Phone (866) 508-0311

Other identifiers 1

IdentifierTypeStateIssuer
7542AMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Personal Involvement Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

24404 Vermont Ave
Ste 200
Harbor City, CA 90710
Phone (866) 508-0311

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1649664491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514839",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900512839",
            "telephone_number": "866-508-0311",
            "fax_number": "323-778-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24404 SOUTH VERMONT AVE",
            "address_2": "SUITE 200",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102321",
            "telephone_number": "866-508-0311",
            "fax_number": "323-778-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL INVOLVEMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "DIGGS",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "866-508-0311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7542A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.