Active NPI
Personal Involvement Center, Inc.
- Community/Behavioral Health Agency
- Harbor City, CA
National Provider Identifier
1649664491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7542A | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Personal Involvement Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Lancaster, CA
- NPI 1043605264
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1174641724
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.